Roger M Wilson (NPI# 1245325794, PAC ID# 9537145545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1245325794 |
| PAC ID by PECOS | 9537145545 |
| Professional Enrollment ID | I20040629000443 |
| Full Name | Roger M Wilson |
| Organization Legal Name | AROOSTOOK MENTAL HEALTH SERVICES, INC. |
| Address |
11 Mill St Houlton ME 04730-1877 |
| Phone Number | 2075326523 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8426033952 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201308 | HOULTON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 43 Hatch Dr, Suite 310, Caribou, ME 04736-2002 | 2074933361 | AROOSTOOK MENTAL HEALTH SERVICES, INC. |
| 11 Mill St, Houlton, ME 04730-1877 | 2075326523 | AROOSTOOK MENTAL HEALTH SERVICES, INC. |
| Organization Legal Name | AROOSTOOK MENTAL HEALTH SERVICES, INC. |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Roberts | Family Medicine | Aroostook Mental Health Services, Inc. | 88 Fox St, Suite 101, Madawaska, ME 04756-1352 |
| Stacey L Baker | Clinical Social Worker | Aroostook Mental Health Services, Inc. | One Edgemont Dr, Presque Isle, ME 04769 |
| Heather A Berce | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 104 E Main St, Fort Kent, ME 04743-1407 |
| Mica T Slaven-lamothe | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 710 Bucksport Rd, Ellsworth, ME 04605-2722 |
| Suzanne Costallos | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 11 Mill St, Houlton, ME 04730-1877 |
| David G Hodgkins | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 127 Palmer St, Suite B, Calais, ME 04619-1300 |
| Lori A Kilcollins-deschaine | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 43 Hatch Dr, Suite 310, Caribou, ME 04736-2002 |
| Christine Y Brown | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 42 Hatch Dr, Caribou, ME 04736-2157 |
| Julian P Kuffler | Family Medicine | Aroostook Mental Health Services, Inc. | 406 State St, Suite 2, Ellsworth, ME 04605-3331 |
| Christina Rae Wall | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 162 Main St, Presque Isle, ME 04769-2817 |
| Street Address |
11 MILL ST |
| City | HOULTON |
| State | ME |
| Zip | 04730-1877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Costallos | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 11 Mill St, Houlton, ME 04730-1877 |
| David L Goodrich | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 11 Mill St, Houlton, ME 04730-1877 |
| Angela G Mccormick | Psychologist, Clinical | Aroostook Mental Health Services, Inc. | 11 Mill St, Houlton, ME 04730-1877 |
| Judith E Feibus | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 11 Mill St, Houlton, ME 04730-1877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Franklin V Thompson | Clinical Psychologist | 2 Water St, Suite 8, Houlton, ME 04730-0957 | |
| Amie J Belyea | Physical Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Kiley L Henderson | Occupational Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Ryan Jj Thurston | Occupational Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Peter J Madore | Physical Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Amanda N Saucier | Physical Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Jessica M Philbrook | Optometry | 29 Military St B, Houlton, ME 04730-1713 | |
| Nicole Marie Long | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Nicki Larrabee | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Lisa Nielsen | Family Medicine | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Find all physicians in zip 04730 | |||
| City | HOULTON |
| Zip Code | 04730 |
| Specialty | PSYCHIATRY |
| City + Specialty | HOULTON + PSYCHIATRY |
Please comment or provide details below to improve the information on Roger M Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.