Authentic Point Mental Health LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Kittery, ME
NPI 1497211775 · NPPES record last updated Apr 18, 2019
Key facts
- NPI
- 1497211775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 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
- Organization subpart
- No
Authorized official
- Name
- Kristen J Aleva, PMHNP
- Title
- Owner
- Phone
- (207) 558-2922
Practitioners 1
-
Kristen Jill Aleva, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190611001657 | ME | Part B Supplier - Clinic/Group Practice | 8022341841 |
Receives reassigned benefits from 1 practitioner Practice locations: Eliot, ME |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
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
Other providers in Kittery, ME
- Frederick Charles Armbruster
- Renee L. Armstrong-Hay
- Aspire365 Maine
- James Assad
- Terri Lynn Aubin
- George Awad
- Andrew Azevedo
- Andrew T Bagby
- Julie A. Barker-Hubbard
- Mason Barker
All providers in Kittery, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.