Soteria Mental Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOTERIA MENTAL HEALTH

Practice address

444 Stillwater Ave
Suite 210
Bangor, ME 04401-3521

Phone

(207) 907-4311

Fax

(207) 907-4322

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Michelle D Henneberry, PMHNP

Title

Vice President

Phone

(207) 907-4311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1346543634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE",
            "address_2": "SUITE 210",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013521",
            "telephone_number": "207-907-4311",
            "fax_number": "207-907-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE",
            "address_2": "SUITE 210",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013521",
            "telephone_number": "207-907-4311",
            "fax_number": "207-907-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTERIA MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "HENNEBERRY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "207-907-4311",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Solotaroff, MD
• Joseph J Somma, CRNA
• Hojun Song
• Dianna Gray Soo, LCSW
• Kris S. Sornberger, D.O.
• Ryan Richard Soucy, PHARMD
• Ann Marie Soule, LCPC C
• Tracy L Souza, LCSW
• Jennifer L Spain, LCSW
• Angela Maria Sparks, COTA

• Psychiatric/Mental Health Nurse Practitioner in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.