Royal River Family Psych

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ROYAL RIVER FAMILY PSYCH

Practice address

115 Pleasant Hill Rd
204
Scarborough, ME 04074-5302

Phone

(207) 904-2471

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Smith, PMHNP-BCNPI 1588341788

Title

Owner

Phone

(207) 904-4271

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 1

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

• Julie D. C. Smith

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, ME
  • NPI 1588341788
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689465600000",
    "number": "1710665641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PLEASANT HILL RD",
            "address_2": "204",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745302",
            "telephone_number": "207-904-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PLEASANT HILL RD",
            "address_2": "204",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745302",
            "telephone_number": "207-904-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL RIVER FAMILY PSYCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-904-4271",
        "authorized_official_name_prefix": "Mrs.",
        "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": []
}

• Lori Jill Rothman, OTR
• Linda Rousseau, N.P.
• Alexandra C. Rowell, MS, LGC
• Heidi M Roy, FNP
• Jared Matthew Roy, PA-C
• Anand Indulal Rughani, MD
• Marion Russell, OTR/L
• Kathleen Ann Rutecki, DO
• Kathryn Anne Ryan, NP
• Thomas J Ryan Jr., M.D.

• Psychiatric/Mental Health Nurse Practitioner in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2023; 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.