Mental Health Associates of Maine LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MENTAL HEALTH ASSOCIATES OF MAINE LLC

Practice address

251 Woodford St
Portland, ME 04103-5617

Phone

(207) 773-2828

Fax

(207) 761-8150

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Carla Kingston

Title

Administrator

Phone

(207) 773-2828

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 6

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

• John Matthew O'Brien, PH.D.

  • Clinical Psychologist
  • Portland, ME
  • NPI 1720083504
  Medicare reassignment
• Stephen R Aronson, PHD

  • Clinical Psychologist
  • Portland, ME
  • NPI 1568490233
  NPD (past)
• Elliot J Gruen, DO

  • Psychiatry Physician
  • Lewiston, ME
  • NPI 1295760106
  NPD (past)
• Christopher C Muncie, PSYD

  • Clinical Psychologist
  • Portland, ME
  • NPI 1598983785
  NPD (past)
• Larry D Plant, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Biddeford, ME
  • NPI 1821298977
  NPD (past)
• Ken E Raffel, LCSW

  • Clinical Social Worker
  • Portland, ME
  • NPI 1952392847
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1508936196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WOODFORD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035617",
            "telephone_number": "207-773-2828",
            "fax_number": "207-761-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WOODFORD ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035617",
            "telephone_number": "207-773-2828",
            "fax_number": "207-761-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATES OF MAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "KINGSTON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-773-2828"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolando Bryan Aberin Mendiola, PSY.D.
• Rachelle Nichole Mendola, DO
• Erin Jeanne Mengedoht, CRNA
• Carolyn Virginia Menges, DPT
• Alexander John Ment
• Katherine Mercedes
• Delinda Mercer, PSYD
• Erik Mercer, L.C.S.W.
• Margaret S Mercer, LCSW
• Ashley Mercier, OTR/L

• Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.