Linda Deborah Macdougall, FMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP81190 Issued in ME

Practice address

6 Farley Rd
Brunswick, ME 04011-2642

Phone

(207) 725-8079

Fax

(207) 798-4455

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD (past)
• Tri-County Mental Health Services

  • Mental Health Counselor
  • Lewiston, ME
  • NPI 1215979158
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1841255445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040",
            "telephone_number": "207-791-3888",
            "fax_number": "207-828-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FARLEY RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112642",
            "telephone_number": "207-725-8079",
            "fax_number": "207-798-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "LINDA",
        "middle_name": "DEBORAH",
        "credential": "FMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP81190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841255445",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamsen E Lyons, PMHNP
• Mary Macaluso
• Brian David Macdonald, DPM
• Garth Macdonald, PHARM D
• Michael Macdonald, MD
• Mary Anne Mackey, DMD
• Ruth E Macy, P.T., DPT
• Michael Paul Madaio, DO
• Melissa Longfellow Madden
• Billy Wade Mahaney, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Brunswick, ME
• Providers in Brunswick, 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 Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.