Psychwellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PSYCHWELLNESS, LLC

Practice address

169 Park Row Ste 6
Brunswick, ME 04011-2039

Phone

(207) 547-5023

NPI assigned

Nov 23, 2018

Organization subpart

No

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

Authorized official

Name

Vicky M Packard, APRN

Title

Owner

Phone

(207) 749-0018

Specialties & licenses 1

Addresses

Other names 1

• PsychWellness, LLC Doing business as

Locations

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542931200000",
    "number": "1952870792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 STOCURRO DR",
            "city": "HARPSWELL",
            "state": "ME",
            "postal_code": "040793051",
            "telephone_number": "207-749-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PARK ROW STE 6",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112039",
            "telephone_number": "207-547-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHWELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-11-23",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-749-0018",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PsychWellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Proctology Associates of Maine PA
• Providence Service Corporation of Maine
• Providence Service Corporation of Maine
• Psychiatrie.Me PLLC
• Psychology Specialists of Maine
• Mitchell Pulver, M.D.
• Rachel Putnam, PA
• Sandra J. Qualey, LCPC
• Julie L. Quimby, PH.D.
• Jane Quinlan, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; 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.