Blue Swan Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLUE SWAN PSYCHIATRY, PLLC

Practice address

2178 Post Rd Ste 205
Wells, ME 04090-4794

Phone

(207) 216-1342

NPI assigned

Dec 29, 2025

Organization subpart

No

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

Authorized official

Name

Domantas Mikonis, DONPI 1891149944

Title

Owner/Sole Member

Phone

(207) 216-1342

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Domantas Mikonis

  • Psychiatry Physician
  • Wells, ME
  • NPI 1891149944

  Psychiatry

  NPD Authorized official

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1932065489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 POST RD STE 205",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904794",
            "telephone_number": "207-216-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 POST RD STE 205",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904794",
            "telephone_number": "207-216-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SWAN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "MIKONIS",
        "authorized_official_first_name": "DOMANTAS",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "207-216-1342",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avita Wells LLC
• Catherine W. Bartok, MS, LCPC
• Karen Beaulieu, PT
• James Brian Berube, PT
• Kayla E Billings, MS, OTR/L
• Lawrence Andrew Boyle, DDS
• Brian E Kaufman, DO, LLC
• Brian E. Kaufman, D.O.,LLC
• Bruce Brokaw, P.A.-C.
• Robert P Cervenka, MD

• All providers in Wells, ME
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.