Organization Active NPI

R.I.S.E. Integrated Mental Health PLLC

  • Psychiatry Physician
  • York, ME
National Provider Identifier
1467200899
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
R.I.S.E. INTEGRATED MENTAL HEALTH PLLC
Practice address
4 Market Place Dr Unit 1-2
York, ME 03909-1698
Phone
(207) 630-2922
NPI assigned
May 9, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amanda Sedgwick, DO
Title
Manager/Owner
Phone
(207) 747-9581

Practitioners 7

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20241216000081 ME Part B Supplier - Clinic/Group Practice 6305372210 Receives reassigned benefits from 7 practitioners
Practice locations: York, ME; Cumberland Foreside, ME

National Provider Directory

National Provider Directory

Locations

15 Sky View Dr
Ste 200
Cumberland Foreside, ME 04110
Phone (207) 630-2922

4 Market Place Dr
Ste 12
York, ME 03909
Phone (207) 630-2922

4 Market Place Dr
Unit 12
York, ME 03909
Phone (207) 630-2922

4 Market Place Dr
York, ME 03909
Phone (207) 351-3078

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

4 Market Place Dr Unit 1-2
York, ME 03909-1698

Mailing address

2 Apple Tree CT
York, ME 03909-5415
Phone (207) 747-9581

Other practice location 1

15 Sky View Dr Ste 200
Cumberland Foreside, ME 04110-1472
Phone (207) 630-2922

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2025.

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1467200899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 APPLE TREE CT",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039095415",
            "telephone_number": "207-747-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARKET PLACE DR UNIT 1-2",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091698",
            "telephone_number": "207-630-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Sky View Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cumberland Foreside",
            "state": "ME",
            "postal_code": "041101472",
            "country_code": "US",
            "telephone_number": "207-630-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "R.I.S.E. INTEGRATED MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "SEDGWICK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "207-747-9581",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.