Birch Grove Mental Health & Wellness, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BIRCH GROVE MENTAL HEALTH & WELLNESS, LLC

Practice address

23 Court St Ste 2
Houlton, ME 04730-1746

Phone

(207) 835-3214

NPI assigned

Apr 4, 2024

Last updated

May 16, 2024By 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

Shelly MillerNPI 1659763753

Title

Owner

Phone

(207) 835-3214

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

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.

• Shelly Miller, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houlton, ME
  • NPI 1659763753
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1619729415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 JACKINS SETTLEMENT RD",
            "city": "HODGDON",
            "state": "ME",
            "postal_code": "047304332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COURT ST STE 2",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301746",
            "telephone_number": "207-835-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH GROVE MENTAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-835-3214"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Berry, PT, DPT
• Angela Bickford, RN
• Rahila Bilal, MD
• Billie's Adult Residential Care Home P.a. (Billie's ARCH)
• Billie's Adult Residential Care Home P.a. (Billie's ARCH)
• Steve Blanchette, MHRT-CSP
• Lee G Bland, PA-C
• John Steven Bohannon, MD
• Claude Boma, M.D.
• Jeffrey S Bouchard, LPN

• Psychiatric/Mental Health Nurse Practitioner in Houlton, ME
• Providers in Houlton, 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 May 16, 2024; 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.