Active NPI
Rare Gem Psychiatry, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Saco, ME
National Provider Identifier
1366055519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RARE GEM PSYCHIATRY, PLLC
- Practice address
- 110 Main St Ste 1508
Saco, ME 04072-3517 - Phone
- (207) 420-2390
- NPI assigned
- Aug 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Mills, APRN
- Title
- Owner
- Phone
- (207) 420-2390
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
110 Main St Ste 1508
Saco, ME 04072-3517
Mailing address
14 Wingate Dr
Portland, ME 04102-1830
Phone (207) 612-1104
National Provider Directory
National Provider DirectoryLocations
110 Main St
Ste 1508
Saco, ME 04072
Phone (207) 494-8016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600041600000",
"number": "1366055519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WINGATE DR",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041021830",
"telephone_number": "207-612-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MAIN ST STE 1508",
"city": "SACO",
"state": "ME",
"postal_code": "040723517",
"telephone_number": "207-420-2390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RARE GEM PSYCHIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-27",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-420-2390",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.