Active NPI
Jared Lenz, D.O.
- Psychiatry Physician
- Bangor, ME
National Provider Identifier
1518161082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO-1234
- Practice address
- 35 State Hospital Dr
Bangor, ME 04401 - Phone
- (207) 561-3651
- Fax
- (207) 947-1862
- NPI assigned
- Jun 11, 2007
- Last updated
- Jan 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-1234 | HI | |
| Psychiatry Physician | 2084P0800X | DO-1234 | HI | Primary |
Addresses
Primary practice location
35 State Hospital Dr
Bangor, ME 04401
Mailing address
66 Grandview Dr
Newport, ME 04953-3748
Phone (207) 355-1947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-1234 | HI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1518161082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 GRANDVIEW DR",
"city": "NEWPORT",
"state": "ME",
"postal_code": "049533748",
"telephone_number": "207-355-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 STATE HOSPITAL DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-561-3651",
"fax_number": "207-947-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "JARED",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "DO-1234",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "DO-1234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.