DR. JESSICA ANNE ARSENAULT (NPI# 1689892549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689892549 |
| Entity Type | Individual |
| Full Name | DR. JESSICA ANNE ARSENAULT |
| Credential | M.D. |
| Practice Address |
6 State St Suite 613 Bangor ME 04401-5112 |
| Practice Telephone | 2074044540 |
| Mailing Telephone | 2074044540 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
016595 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 416310099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952899650 | Jessica Potrepka Arsenault | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-04-27 |
| Street Address |
6 STATE ST SUITE 613 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194768887 | Brian W Selby | Psychologist | 6 State St, Suite 208, Bangor, ME 04401-5112 | 2006-06-13 |
| 1881936524 | Siegel & Siegel, P.a. | Psychologist | 6 State St, Suite 413, Bangor, ME 04401-5112 | 2013-03-20 |
| 1598952913 | Linda Keil Wakely | Psychologist | 6 State St, Suite 603, Bangor, ME 04401-5112 | 2007-09-30 |
| 1992999627 | Selby Psychological Services, Pllc | Psychologist | 6 State St, Suite 208, Bangor, ME 04401-5112 | 2007-09-06 |
| 1265625586 | Carol Jones Sherman | Counselor | 6 State St, Bangor, ME 04401-5112 | 2007-08-21 |
| 1124149513 | Jon Howard Siegel | Psychologist | 6 State St, Suite 413, Bangor, ME 04401-5112 | 2007-04-03 |
| 1144342122 | Laurene Alice Collins | Counselor | 6 State St, Suite 617, Bangor, ME 04401-5112 | 2007-04-03 |
| 1467573873 | Joelle Valvo Siegel | Psychologist | 6 State St, Suite 413, Bangor, ME 04401-5112 | 2007-04-03 |
| 1679605760 | B. Pascha Warren | Counselor | 6 State St, Suite #507, Bangor, ME 04401-5112 | 2007-03-12 |
| 1437296340 | Michael John Dematteo I | Social Worker | 6 State St, Bangor, ME 04401-5112 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841349255 | Corabell Arps | Psychiatry & Neurology | 970 Illinois Ave, Bangor, ME 04401-2722 | 2007-01-09 |
| 1952408510 | David Rollo Hawkins Jr. | Psychiatry & Neurology | 88 Hammond St, Fourth Floor, Bangor, ME 04401-4953 | 2006-09-17 |
| 1215002480 | Joshua P. Newman | Psychiatry & Neurology | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2006-11-22 |
| 1548342348 | Eric Kuntz | Psychiatry & Neurology | 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144455296 | Peter Y. Kang | Psychiatry & Neurology | 7 Oak Hill Ter Ste 218, Scarborough, ME 04074 | 2009-05-19 |
| 1235397696 | Kelly Katherine Mcguire | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2008-06-01 |
| 1003086109 | Gordon Adair Heath | Psychiatry & Neurology | 96 Ocean St, Unit 4, South Portland, ME 04106-2855 | 2008-03-04 |
| 1003977257 | Andrew Cook | Psychiatry & Neurology | 11 State House Station, Augusta, ME 04011-0011 | 2006-12-12 |
| 1639197932 | Daniel Bates | Psychiatry & Neurology | 124 Fletcher St, Kennebunk, ME 04043-6877 | 2006-07-17 |
| 1841677804 | Kasey May Moss | Psychiatry & Neurology | 123 Andover Rd, Westbrook, ME 04092-3848 | 2015-04-29 |
| 1811300965 | Danielle Hansen Sipsock | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2014-06-06 |
| 1538407408 | Francine F. Blattner, Md.pa | Psychiatry & Neurology | 1486b Broadway, South Portland, ME 04106-2602 | 2013-01-28 |
| 1780944488 | Monica L Daigle | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2012-05-29 |
| 1063648111 | Kimberly P Wells | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2009-06-03 |
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| 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.