Andrea Kelly Schachtner

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CAC5160 Issued in ME

Practice address

11 Baxter Blvd
Portland, ME 04101-1801

Phone

(207) 775-5671

NPI assigned

Jun 19, 2012

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

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 and National Provider Directory roles.

• Catholic Charities Maine

  • Clinical Social Worker
  • Portland, ME
  • NPI 1013955947
  NPD (past)
• Catholic Charities Maine

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1487020970
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1982967568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CONGRESS ST",
            "address_2": "APT 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022717",
            "telephone_number": "920-819-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BAXTER BLVD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011801",
            "telephone_number": "207-775-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHTNER",
        "first_name": "ANDREA",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "CAC5160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roland A. Sawyer Jr., LCSW
• Eric Jay Sax, MD
• Lindsay Eve Sayward
• SBSC, Inc.
• Samantha Milan Scerri, OT
• Kevin J Schaefer, LMSW-CC
• Rachael Ann Schaefer, DO
• Tammi H Schaeffer, DO
• Vicki L Schaffer, NNP
• Courtney Anne Schapira, DDS

• Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.