Individual provider Active NPI

Chantal Nathalie Mihm, PSY.D.

  • Psychologist
  • Palo Alto, CA
National Provider Identifier
1750337630
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS1161 Issued in ME
Practice address
3801 Miranda Ave
VA Palo Alto HCS (116B)
Palo Alto, CA 94304-1207
Phone
(650) 493-5000
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY17847 CA
Psychologist 103T00000X PS1161 ME Primary

Addresses

Primary practice location

3801 Miranda Ave
VA Palo Alto HCS (116B)
Palo Alto, CA 94304-1207

Mailing address

Health Psych Maine, LLC
2 Big Sky Lane
Waterville, ME 04901
Phone (207) 872-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131118001842 ME Practitioner - Clinical Psychologist 6507092731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Psych Maine LLCGroup PAC ID 9739513219, 9 clinicians

Practice addresses (Care Compare)

2 Big Sky LN
Waterville, ME 04901-4340
Phone (207) 872-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY17847CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psych Maine LLC CurrentSince Oct 17, 2019 Accepting new patients

Locations

2 Big Sky Ln
Waterville, ME 04901
Phone (207) 872-5800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750337630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEALTH PSYCH MAINE, LLC",
            "address_2": "2 BIG SKY LANE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "04901",
            "telephone_number": "207-872-5800",
            "fax_number": "207-872-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "VA PALO ALTO HCS (116B)",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHM",
        "first_name": "CHANTAL",
        "middle_name": "NATHALIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17847",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.