Organization Active NPI

Authentic Point Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kittery, ME
National Provider Identifier
1497211775
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AUTHENTIC POINT MENTAL HEALTH LLC
Practice address
439 US Route 1
Kittery, ME 03904-5649
Phone
(207) 558-2922
Fax
(207) 560-9124
NPI assigned
Feb 12, 2019
Last updated
Apr 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Kristen J Aleva, PMHNPNPI 1558620898
Title
Owner
Phone
(207) 558-2922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

439 US Route 1
Kittery, ME 03904-5649

Mailing address

PO Box 18
South Berwick, ME 03908-0018
Phone (207) 558-2922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190611001657 ME Part B Supplier - Clinic/Group Practice 8022341841 Receives reassigned benefits from 1 practitioner
Practice locations: Eliot, ME

National Provider Directory

National Provider Directory

Locations

178 Harold L Dow Hwy
Ste 12
Eliot, ME 03903
Phone (207) 558-2922

439 US Route 1
Kittery, ME 03904
Phone (207) 558-2922

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1497211775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039080018",
            "telephone_number": "207-558-2922",
            "fax_number": "207-560-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 US ROUTE 1",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039045649",
            "telephone_number": "207-558-2922",
            "fax_number": "207-560-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC POINT MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "ALEVA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-558-2922",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "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 Kittery, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.