Organization Active NPI

Northern New England Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Arundel, ME
National Provider Identifier
1639836554
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NORTHERN NEW ENGLAND PSYCHIATRIC SERVICES LLC
Practice address
614 River Rd
Arundel, ME 04046-7544
Phone
(207) 467-3553
NPI assigned
Nov 27, 2021
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Ann Marie Pender, PMHNPNPI 1790186310
Title
Owner
Phone
(207) 467-3553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

614 River Rd
Arundel, ME 04046-7544

Mailing address

45 Portland Rd Ste 7No295
Kennebunk, ME 04043-6660
Phone (207) 467-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240716003972 ME Part B Supplier - Clinic/Group Practice 5496290231 Receives reassigned benefits from 1 practitioner
Practice locations: Arundel, ME

National Provider Directory

National Provider Directory

Locations

45 Portland Rd
Ste 7
Kennebunk, ME 04043
Phone (207) 467-3553

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1639836554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PORTLAND RD STE 7NO295",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436660",
            "telephone_number": "207-467-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 RIVER RD",
            "city": "ARUNDEL",
            "state": "ME",
            "postal_code": "040467544",
            "telephone_number": "207-467-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEW ENGLAND PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-27",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "PENDER",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-467-3553",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arundel, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.