Family Psychiatry of Maine PA LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD18501 Issued in ME

Legal business name

FAMILY PSYCHIATRY OF MAINE PA LLC

Practice address

253 Main St
Yarmouth, ME 04096-6800

Phone

(207) 650-1393

Fax

(888) 538-7919

NPI assigned

Mar 18, 2014

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry Skinner, MDNPI 1619949526

Title

President

Phone

(207) 650-1393

Specialties & licenses 2

Addresses

Locations

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.

• Henry C. Skinner, MD

  • Child & Adolescent Psychiatry Physician
  • Lewiston, ME
  • NPI 1619949526
  Authorized official Same address or phone

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1386061174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966800",
            "telephone_number": "207-650-1393",
            "fax_number": "888-538-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966800",
            "telephone_number": "207-650-1393",
            "fax_number": "888-538-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PSYCHIATRY OF MAINE PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-650-1393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD18501",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "MD18501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth B. Pierce, DO, PA
• Ellen Smith-Erb LCSW LLC (Ellen Smith-Erb LCSW)
• Christina Ernst, LMT
• Douglas Gardner Ertman, M.D.
• William John Estrella, PHARMD
• Erin Feller, MD
• Mark Edward Fischer, D.M.D.
• Brooke Flaherty Fleurent
• Forest Falls Dental Holding LLC (Forest Falls Dental)
• Forest Falls Dental, PA

• Child & Adolescent Psychiatry Physician in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Child & Adolescent Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.