1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Nurse Practitioner
  6. NPI Profile

KATHLEEN J MONGILLO MS,ARNP,BC
NPI 1023064326
Nurse Practitioner - Psychiatric/Mental Health in Portland, ME

Active since May 26, 2006
200 LANCASTER STREET, PORTLAND, ME 04101(207) 772-2133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen J Mongillo Ms,arnp,bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN J MONGILLO MS,ARNP,BC (NPI 1023064326) is an individual psychiatric/mental health provider in Portland, Maine, licensed in Maine (R038450) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1023064326
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN J MONGILLOCredential: MS,ARNP,BC
Location Address200 LANCASTER STREETPortland, ME 04101-2418
Mailing Address944 S High StBridgton, ME 04009-3919 · (603) 447-6339
Phone(207) 772-2133
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023064326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ME · R038450
200 LANCASTER STREET, Portland, ME 04101
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS58451
Medicare ID-Type UnspecifiedNS8017ME · Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Mongillo's NPI number?

The NPI number for Kathleen Mongillo is 1023064326. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Kathleen Mongillo located?

Kathleen Mongillo practices at 200 Lancaster Street, Portland, ME 04101. The listed phone number is (207) 772-2133.

What is Kathleen Mongillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kathleen Mongillo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.