Re/Vision Enterprises, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS645 Issued in ME

Legal business name

RE/VISION ENTERPRISES, INC.

Practice address

5 Nason Court
Suite 7
Kennebunk, ME 04043-7051

Phone

(207) 985-3137

Fax

(207) 985-2640

NPI assigned

May 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Susannah F. Ristine, EDD.

Title

Licensed Psychologist

Phone

(207) 985-3137

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert John Tate II, MSW

  • Mental Health Counselor
  • Portland, ME
  • NPI 1093883449
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1295969301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NASON COURT",
            "address_2": "SUITE 7",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "04043",
            "telephone_number": "207-985-3137",
            "fax_number": "207-985-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NASON COURT",
            "address_2": "SUITE 7",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437051",
            "telephone_number": "207-985-3137",
            "fax_number": "207-985-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE/VISION ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "RISTINE",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "207-985-3137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114230100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Plummer, LCPC
• Penelope Pollard, SLP
• Elizabeth Bennett Pritchard
• Gillian Purcell, PHARMD
• Susan Raychard, MOTR/L
• React Behavioral Health, LLC
• Recovery Associates Inc.
• Angela Myra Reed, CRNP
• Kathleen Susan Regan, LCSW
• Howard Stephen Reinheimer, M.D.

• Psychologist in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.