FERN RIVER PSYCHIATRY, LLC (NPI# 1538769203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538769203 |
| Entity Type | Organization |
| Organization Name | FERN RIVER PSYCHIATRY, LLC |
| Practice Address |
50 Market Street Ste 1a Pmb 320 S Portland ME 04106-3646 |
| Practice Telephone | 2079560050 |
| Mailing Telephone | 2079560050 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | ABIGAIL KEENAN (PSYCHIATRIST) |
| Authorized Official Telephone | 2079560050 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
50 MARKET STREET STE 1A PMB 320 |
| City | S PORTLAND |
| State | ME |
| Zip Code | 04106-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999841 | Laura Gottfried Lcsw Inc. | Clinic/Center | 145 Newbury St Ste 2, Portland, ME 04101-4261 | 2020-10-13 |
| 1396246922 | Lamplight Counseling, LLC | Clinic/Center | 15 York St Unit 201h, Biddeford, ME 04005-5531 | 2018-02-28 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1669739389 | Casco Bay Medical Pllc | Clinic/Center | 371 Fore St, 201, Portland, ME 04101-5112 | 2012-04-19 |
| 1942328356 | The Opportunity Alliance | Clinic/Center | 190 Lancaster St, Portland, ME 04101-2056 | 2007-03-26 |
| 1710986583 | Discovery House Wc, Inc. | Clinic/Center | 12 Beech St, Suite 2, Calais, ME 04619-1203 | 2005-07-14 |
| 1023649621 | Dani Fazio Psychotherapy LLC | Clinic/Center | 57 Exchange St Ste 203, Portland, ME 04101-5000 | 2020-02-01 |
| 1891325809 | Northwoods Counseling Services | Clinic/Center | 283 Dow Rd, Orrington, ME 04474-3539 | 2020-01-17 |
| 1023674389 | Renew Counseling, LLC | Clinic/Center | 13 Railroad Sq Ste 1, Waterville, ME 04901-6139 | 2019-05-13 |
| 1316413057 | Seasons of Life LLC | Clinic/Center | 74 Winthrop St, Augusta, ME 04330-5544 | 2018-10-21 |
| Find all providers with the same taxonomy | ||||
| City | S PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on FERN RIVER PSYCHIATRY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.