David E Pelkey, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

516606 Issued in ME

Practice address

96 Harlow St
Suite 340
Bangor, ME 04401-4925

Phone

(207) 945-9777

Fax

(207) 945-9777

NPI assigned

May 22, 2009

Last updated

May 22, 2009By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

Practice roles

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

• Independence Project LLC

  • Addiction (Substance Use Disorder) Counselor
  • Bangor, ME
  • NPI 1073751277
  NPD (past) Authorized official

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1871728618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HARLOW ST",
            "address_2": "SUITE 340",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014925",
            "telephone_number": "207-945-9777",
            "fax_number": "207-945-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HARLOW ST",
            "address_2": "SUITE 340",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014925",
            "telephone_number": "207-945-9777",
            "fax_number": "207-945-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELKEY",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "516606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432484399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Peavey, FNP
• Robert Stephen Peddicord, PH.D.
• Craig J Pedersen, PA-C
• Jared Peet, CADC
• Elizabeth R Pelissier, APRN
• Lisa V Pelkey, FNP
• Nicholas Jon Pelkey, LADC
• Amelia Maya Pellegrini, PHD
• Joanmarie Dietz Pellegrini, M.D.
• Tammy Anne Pellegrino, OT

• Addiction (Substance Use Disorder) Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.