Active NPI
Upwell Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Bath, ME
National Provider Identifier
1689555328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- UPWELL PSYCHIATRY PLLC
- Practice address
- 48 Front St Ste 207
Bath, ME 04530-2524 - Phone
- (207) 739-4208
- NPI assigned
- Sep 9, 2025
- 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
- Jaclyn Burskey, PMHNP-BC
- Title
- Pmhnp-BC
- Phone
- (207) 739-4208
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
48 Front St Ste 207
Bath, ME 04530-2524
Mailing address
PO Box 114
Wiscasset, ME 04578-0114
Phone (207) 739-4208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
48 Front St
Ste 207
Bath, ME 04530
Phone (207) 383-3600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wiscasset, ME
- NPI 1407735681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1689555328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 114",
"city": "WISCASSET",
"state": "ME",
"postal_code": "045780114",
"telephone_number": "207-739-4208",
"fax_number": "207-600-4629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 FRONT ST STE 207",
"city": "BATH",
"state": "ME",
"postal_code": "045302524",
"telephone_number": "207-739-4208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPWELL PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-09",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "BURSKEY",
"authorized_official_first_name": "JACLYN",
"authorized_official_title_or_position": "PMHNP-BC",
"authorized_official_telephone_number": "207-739-4208",
"authorized_official_credential": "PMHNP-BC"
},
"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 Bath, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.