Active NPI
Geoffry W Phillips McEnany, PHD, APRN, BC
- Adult Psychiatric/Mental Health Registered Nurse
- Peaks Island, ME
National Provider Identifier
1285778548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 239814
- Practice address
- 48 Spruce Ave.
Peaks Island, ME 04108 - Phone
- (857) 290-8197
- Fax
- (866) 323-2249
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 239814 | MA | Primary |
Addresses
Primary practice location
48 Spruce Ave.
Peaks Island, ME 04108
Mailing address
48 Spruce Ave.
Peaks Island, ME 04108
Phone (617) 696-7925
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269301000 | Other | MA | MAGELLAN HEALTH SERVICES |
| 008805 | Other | MA | VALUE OPTIONS |
| 346824 | Other | MA | TUFTS HEALTH PLAN |
| 3737024 | Other | MA | AETNA |
| 9631-01 | Other | MA | HARVARD PILGRIM HEALTH CA |
| NS0544 | Other | MA | MEDICARE PART B |
| PN0702 | Other | MA | BLUE CROSS BLUE SHIELD |
Other names 1
- Dr. Geoffry W McEnany
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239814 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1285778548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 SPRUCE AVE.",
"city": "PEAKS ISLAND",
"state": "ME",
"postal_code": "04108",
"telephone_number": "617-696-7925",
"fax_number": "617-322-1084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 SPRUCE AVE.",
"city": "PEAKS ISLAND",
"state": "ME",
"postal_code": "04108",
"telephone_number": "857-290-8197",
"fax_number": "866-323-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS MCENANY",
"first_name": "GEOFFRY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHD, APRN, BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "239814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "269301000",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "008805",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "346824",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3737024",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "9631-01",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "NS0544",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "PN0702",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEOFFRY",
"last_name": "MCENANY",
"middle_name": "W",
"prefix": "DR.",
"credential": "PHD, APRN, BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Peaks Island, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.