Organization Active NPI

Erin Haynes, FPMH-NP, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburn, ME
National Provider Identifier
1295433399
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ERIN HAYNES, FPMH-NP, LLC
Practice address
871 Court St
Auburn, ME 04210-3903
Phone
(207) 222-2023
Fax
(207) 517-5859
NPI assigned
Feb 17, 2023
Last updated
Feb 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin M Haynes, FPMH-NPNPI 1275848871
Title
Family Psychiatric Mental Health NP
Phone
(207) 222-3023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

871 Court St
Auburn, ME 04210-3903

Mailing address

14 Maine St Ste 205
Brunswick, ME 04011-2026
Phone (207) 222-3023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230413001647 ME Part B Supplier - Clinic/Group Practice 6507231123 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, ME

National Provider Directory

National Provider Directory

Locations

871 Court St
Auburn, ME 04210
Phone (207) 241-0401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1295433399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAINE ST STE 205",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112026",
            "telephone_number": "207-222-3023",
            "fax_number": "207-517-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 COURT ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103903",
            "telephone_number": "207-222-2023",
            "fax_number": "207-517-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN HAYNES, FPMH-NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FAMILY PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "207-222-3023",
        "authorized_official_credential": "FPMH-NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.