Department of Veterans Affairs

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MC11962 Issued in ME

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

99 River Rd
Lincoln, ME 04457-4012

Phone

(877) 421-8263

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Jonathon McMath, M.D.

Title

Chief of Psychiatry

Phone

(877) 421-8263

Specialties & licenses 1

Addresses

Tax ID family

James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Togus VA Medical Center

  • Psychiatric Hospital Unit
  • Togus, ME
  • NPI 1952495590
  NPD tax ID
• VA Medical Center

  • Military Hospital
  • Belfast, ME
  • NPI 1124032420
  NPD tax ID

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1306170295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AYER ST",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571228",
            "telephone_number": "207-907-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 RIVER RD",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574012",
            "telephone_number": "877-421-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "MCMATH",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "CHIEF OF PSYCHIATRY",
        "authorized_official_telephone_number": "877-421-8263",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ME",
            "license": "MC11962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Daigle, RPH
• Alexa Dare, MHRTC
• Lisa Dauphinee
• Taylor Danielle Day
• Gary P Degen, DPM
• Dragonfly Psychotherapy & Training Center, LLC
• Miranda Dawn Drinkwater, OTR/L
• Laycee Duhaime, FNP
• Amin M El Mallawany, MD
• Kathleen Farmer

• All providers in Lincoln, ME
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.