NPIMap

Organization Active NPI

Tri-County Mental Health

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Lewiston, ME
National Provider Identifier
1629164082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
R050690 Issued in ME
Legal business name
TRI-COUNTY MENTAL HEALTH
Practice address
1155 Lisbon St
Lewiston, ME 04240-5025
Phone
(207) 783-9141
Fax
(207) 755-0045
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dale S. Hutchinson
Title
Patient Accounts MGR
Phone
(207) 755-0036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X R050690 ME Primary

Addresses

Primary practice location

1155 Lisbon St
Lewiston, ME 04240-5025

Mailing address

49 William St Apt 2
Portland, ME 04103-4882
Phone (207) 317-0471

National Provider Directory

National Provider Directory
Tax ID family
Tri-County Mental Health Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629164082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WILLIAM ST APT 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034882",
            "telephone_number": "207-317-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405025",
            "telephone_number": "207-783-9141",
            "fax_number": "207-755-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PATIENT  ACCOUNTS MGR",
        "authorized_official_telephone_number": "207-755-0036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ME",
            "license": "R050690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.