NPIMap

Organization Active NPI

Central Aroostook Psychiatric Services LLC

  • Psychiatry Physician
  • Presque Isle, ME
National Provider Identifier
1831368042
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
016605 Issued in ME
Legal business name
CENTRAL AROOSTOOK PSYCHIATRIC SERVICES LLC
Practice address
521 Main St
Presque Isle, ME 04769-2341
Phone
(207) 764-9700
NPI assigned
Feb 21, 2008
Organization subpart
No

Practitioners 12

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000747 ME Part B Supplier - Clinic/Group Practice 8921185331 Receives reassigned benefits from 5 practitioners
Practice locations: Presque Isle, ME

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Carol S Guerrette
Title
Billing Manager
Phone
(207) 760-7024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 016605 ME Primary

Addresses

Primary practice location

521 Main St
Presque Isle, ME 04769-2341

Mailing address

521 Main St Ste a
Presque Isle, ME 04769-2341
Phone (207) 760-7024

Other identifiers 1

IdentifierTypeStateIssuer
1831368042MedicaidME

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2023.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1831368042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MAIN ST STE A",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692341",
            "telephone_number": "207-760-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MAIN ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692341",
            "telephone_number": "207-764-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL AROOSTOOK PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "GUERRETTE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "207-760-7024"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "016605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831368042",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.