Individual provider Active NPI

Daniel Bates, DO

  • Child & Adolescent Psychiatry Physician
  • Porter, ME
National Provider Identifier
1639197932
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
DO1945 Issued in ME
Practice address
70 Main St
Porter, ME 04068-3527
Phone
(207) 625-8126
NPI assigned
Jul 17, 2006
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X DO1945 ME Primary

Addresses

Primary practice location

70 Main St
Porter, ME 04068-3527

Mailing address

70 Main St
Porter, ME 04068-3527
Phone (207) 625-8126

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060807000014 ME Practitioner - Psychiatry 0648273961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacopee Valley Health CenterGroup PAC ID 5597664854, 19 clinicians

Practice addresses (Care Compare)

70 Main St
Porter, ME 04068-3527
Phone (207) 625-8126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO1945MEMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacopee Valley Health Center CurrentSince Oct 10, 2006 Accepting new patients
Sacopee Valley Health Center CurrentSince Oct 10, 2006 Accepting new patients

Locations

70 Main St
Porter, ME 04068
Phone (207) 625-8126

Interoperability endpoints

  • Direct secure messaging: daniel.batesdo.p1@direct.svhc.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1639197932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "PORTER",
            "state": "ME",
            "postal_code": "040683527",
            "telephone_number": "207-625-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "PORTER",
            "state": "ME",
            "postal_code": "040683527",
            "telephone_number": "207-625-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "DO1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, ME

Sources for this page

Verify at the official NPI Registry.