MK Baldwin LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MK BALDWIN LLC

Doing business as

Mooshead Behavioral Health

Practice address

139 State St Ste 2
Bangor, ME 04401-5317

Phone

(207) 573-2479

NPI assigned

Dec 27, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha Kathleen Baldwin, APRNNPI 1891280855

Title

Owner/ Aprn

Phone

(207) 573-2479

Specialties & licenses 1

Addresses

Other names 1

• Mooshead Behavioral Health Doing business as

Locations

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.

• Martha Baldwin

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterville, ME
  • NPI 1891280855
  NPD (past) Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1538938915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "GREENVILLE",
            "state": "ME",
            "postal_code": "044410132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 STATE ST STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015317",
            "telephone_number": "207-573-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK BALDWIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/ APRN",
        "authorized_official_telephone_number": "207-573-2479",
        "authorized_official_credential": "APRN"
    },
    "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": [
        {
            "organization_name": "Mooshead Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry Scott Misler
• Eric I. Mitchell, M.D.
• Samantha Helene Mitchell, FNP-C
• Terri M Mitchell, LMSW-C
• Ashley Mitton, PSYD
• Elisabeth F Mock, MD
• Karolina Marie Moffett, MT
• Vinod Mohan, MD
• Katarina Monahan
• Katherine Louise Monahan, LCPC-C

• Psychiatric/Mental Health Nurse Practitioner in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.