Northern New England Psychiatric Services LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Arundel, ME

NPI 1639836554 · NPPES record last updated Jun 6, 2025

Key facts

NPI
1639836554
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 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
Organization subpart
No

Authorized official

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME

Medicare enrollment records

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

Locations

45 Portland Rd
Ste 7NO295
Kennebunk, ME 04043
Phone (207) 467-3553

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

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

Other providers in Arundel, ME

All providers in Arundel, ME · Psychiatric/Mental Health Nurse Practitioner in Maine

Sources for this page

Verify at the official NPI Registry.