Open Door Wellness LLC,

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OPEN DOOR WELLNESS LLC,

Practice address

375 Main St
Rockland, ME 04841-3304

Phone

(561) 866-1211

Fax

(207) 569-6650

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Dolores Imelda Van Bourgondien, PMHNPNPI 1457788390

Title

Director

Phone

(207) 691-9907

Specialties & licenses 2

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.

• Dolores I Van Bourgondien, ANP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Forks, ND
  • NPI 1457788390

  Adult Health, ME

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1841079407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MAIN ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048413304",
            "telephone_number": "561-866-1211",
            "fax_number": "207-569-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MAIN ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048413304",
            "telephone_number": "561-866-1211",
            "fax_number": "207-569-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR WELLNESS LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "VAN BOURGONDIEN",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "IMELDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-691-9907",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Jo O'Neill, CADC
• Kathleen Hamilton O'Sullivan, APRN, FNP-BC
• Teagan F O'Toole, PA-C
• Ocean Way Manor Inc
• Cara Lynn Olsen
• Mary-Ellen Ostherr, MA LADC CCS
• Barbara Sperling Owen, LCSW
• Myriah Palow
• Deborah Paradis
• Park Street Group Inc

• Psychiatric/Mental Health Nurse Practitioner in Rockland, ME
• Providers in Rockland, 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 Oct 24, 2025; 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.