Individual provider Active NPI

Dylan M McKenney, MD

  • Child & Adolescent Psychiatry Physician
  • Portland, ME
National Provider Identifier
1922233071
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD19445 Issued in ME
Practice address
225 Commercial St Ste 300
Portland, ME 04101-6606
Phone
(207) 631-2383
Fax
(207) 489-2793
NPI assigned
May 19, 2009
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD19445 ME
Child & Adolescent Psychiatry Physician 2084P0804X MD19445 ME Primary

Addresses

Primary practice location

225 Commercial St Ste 300
Portland, ME 04101-6606

Mailing address

225 Commercial St Ste 300
Portland, ME 04101-6606
Phone (207) 401-4381

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130328000386 ME Practitioner - Psychiatry 3870738529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Vermont College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19445MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinical Services, Inc. Current Accepting new patients
Dylan McKenney MD PLLC Child & Adolescent Psychiatry Current Accepting new patients
St. Mary's Regional Medical Center Psychiatry CurrentSince Jan 1, 2017 Accepting new patients
Community Clinical Services, Inc. Psychiatry CurrentSince Aug 25, 2014 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Jan 1, 2017 Accepting new patients
Community Clinical Services, Inc CurrentSince Aug 25, 2014 Accepting new patients
St. Mary's Regional Medical Center Past Accepting new patients

Locations

106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

225 Commercial St
Ste 300
Portland, ME 04101
Phone (207) 761-7783

Interoperability endpoints

  • Direct secure messaging: dmckenney1153641@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1922233071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COMMERCIAL ST STE 300",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041016606",
            "telephone_number": "207-401-4381",
            "fax_number": "207-489-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMMERCIAL ST STE 300",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041016606",
            "telephone_number": "207-631-2383",
            "fax_number": "207-489-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNEY",
        "first_name": "DYLAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD19445",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "MD19445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.