Active NPI
Thriveworks Telepsychiatry - Maine
- Mental Health Counselor
- Portland, ME
National Provider Identifier
1649909797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THRIVEWORKS TELEPSYCHIATRY - MAINE
- Practice address
- 550 Forest Ave Ste 201
Portland, ME 04101-1505 - Phone
- (855) 284-7483
- NPI assigned
- Jun 6, 2022
- 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
- Nathan Miller
- Title
- Credentialing
- Phone
- (540) 217-6461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
550 Forest Ave Ste 201
Portland, ME 04101-1505
Mailing address
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
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.
-
- Psychiatry Physician
- Ravenswood, WV
- NPI 1821038159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1649909797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748465",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748465",
"telephone_number": "855-284-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 FOREST AVE STE 201",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041011505",
"telephone_number": "855-284-7483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVEWORKS TELEPSYCHIATRY - MAINE",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "540-217-6461"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 Feb 11, 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.