Active NPI
Carolyn Criss, MD
- Psychiatry Physician
- Augusta, ME
National Provider Identifier
1578548871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- TD05052
- Practice address
- 8 Page St
Augusta, ME 04330-6805 - Phone
- (207) 623-7543
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TD05052 | ME | Primary |
Addresses
Primary practice location
8 Page St
Augusta, ME 04330-6805
Mailing address
PO Box 158
Augusta, ME 04332-0158
Phone (207) 623-7543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TD05052 | ME | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Maine | Current | Accepting new patients | |
| State of Maine | Current | Accepting new patients | |
| State of Maine | Current | Accepting new patients | |
| Acadia Hospital Corp | Current | Accepting new patients | |
| Winter Haven Hospital Inc | Past | Accepting new patients |
Locations
109 Capitol St
#11
Augusta, ME 04330
656 State St
Bangor, ME 04401
Phone (207) 941-4000
268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Bangor, ME
- NPI 1215940523
-
dba Dorothea Dix Psychiatric Center Out Patient Services
- Community/Behavioral Health Agency
- Bangor, ME
- NPI 1184020091
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1578548871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 158",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043320158",
"telephone_number": "207-623-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 PAGE ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306805",
"telephone_number": "207-623-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISS",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "TD05052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.