Active NPI
Pursuecare Me LLC
- Psychiatry Physician
- Portland, ME
National Provider Identifier
1649008962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PURSUECARE ME LLC
- Practice address
- 254 Commercial St Ste 245
Portland, ME 04101-4899 - Phone
- (860) 322-6712
- Fax
- (860) 706-8151
- NPI assigned
- Jul 26, 2024
- Last updated
- Jul 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa King
- Title
- Director of Credential & Enrollment
- Phone
- (860) 322-6712
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | Primary | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | NU |
Addresses
Primary practice location
254 Commercial St Ste 245
Portland, ME 04101-4899
Mailing address
101 Centerpoint Dr Ste 105
Middletown, CT 06457-7568
Phone (860) 322-6712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1721952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1649008962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CENTERPOINT DR STE 105",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064577568",
"telephone_number": "860-322-6712",
"fax_number": "860-706-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 COMMERCIAL ST STE 245",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014899",
"telephone_number": "860-322-6712",
"fax_number": "860-706-8151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURSUECARE ME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIAL & ENROLLMENT",
"authorized_official_telephone_number": "860-322-6712"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.