Kathleen Dishner, Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KATHLEEN DISHNER, INC

Practice address

62 Bayview St Unit 23
Camden, ME 04843-2252

Phone

(207) 706-4163

Fax

(207) 706-4172

NPI assigned

May 14, 2019

Last updated

May 14, 2019By 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

Kathleen A Dishner, APRNNPI 1235221854

Title

President

Phone

(207) 504-7631

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Kathleen A Dishner, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Camden, ME
  • NPI 1235221854

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1639735715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BAYVIEW ST UNIT 23",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048432252",
            "telephone_number": "207-706-4163",
            "fax_number": "207-706-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BAYVIEW ST UNIT 23",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048432252",
            "telephone_number": "207-706-4163",
            "fax_number": "207-706-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN DISHNER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "DISHNER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-504-7631",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R019254",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy L Jenner, M.AC. DIPL. AC. LAC
• Carlton Douglas Johnstone, DC
• Jon St. Peter LCSW
• Richard J Kahn, M.D.
• Elise Kaserman, PHARM.D
• Kemberling and Willey PA
• Cecilia Kinast, PH.D.
• Clay King, LMT
• Margaret King, LMT
• Spencer Knowlton, CEO

• Psychiatric/Mental Health Nurse Practitioner in Camden, ME
• Providers in Camden, 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 14, 2019; 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.