Stephanie A Phelps, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD16805 Issued in ME

Practice address

121 Medical Center Dr
Suite 2600
Brunswick, ME 04011-2653

Phone

(207) 721-8333

Fax

(207) 798-4618

NPI assigned

Nov 28, 2006

Last updated

Sep 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sphelps364105@direct.mmc.mainehealth.org

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.

• Mainehealth

  dba MaineHealth Medical Group-Primary Care

  • Clinic/Center
  • Portland, ME
  • NPI 1487346722

  Pediatrics

  NPD (past)
• Mainehealth

  dba MaineHealth Mid Coast Hospital

  • General Acute Care Hospital
  • Brunswick, ME
  • NPI 1932164795
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1639246663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 2200",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-721-8333",
            "fax_number": "207-618-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR",
            "address_2": "SUITE 2600",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112653",
            "telephone_number": "207-721-8333",
            "fax_number": "207-798-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD16805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "00900M",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Lindblom LCSW LLC
• Connor Petrovich, MD
• Gabrielle Petruccelli, OTR/L
• Amanda R Petry, OTR/L
• Jane Elizabeth Pfeufer, RD
• Elizabeth Anne Phillips, F.N.P.
• Tina Phillips
• Picc's Plus
• Christina Pickel, PHD
• Sarah Pierce, LMSW-CC

• Pediatrics Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.