Bangor Psychiatric Associates, Pa

LBN: Bangor Psychiatric Associates, Pa
Bangor Psychiatric Associates, Pa is an health care organization with primary practice located at 444 Stillwater Ave Ste 210 , Bangor ME 04401-3500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Bangor Psychiatric Associates, Pa can be contacted via phone (207) 907-4311, or through Henneberry, Michelle via phone (207) 907-6311.

Contact Information

Primary practice address
444 Stillwater Ave Ste 210 Bangor ME 04401-3500
Phone: (207) 907-4311
Fax: (207) 907-4322
Website:
Map and Directions
Authorized official contact:
Name: Henneberry, Michelle PMHNP
Phone: (207) 907-6311

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1740356997
LBN Legal business name Bangor Psychiatric Associates, Pa
DBA Doing business as
Authorized official Henneberry, Michelle PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Dec 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740356997 NPPES
Maine MEDICAID 105740000
Maine Other 048918

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