MR. R. ANDREW DERSTINE LCSW
NPI 1114051984
Counselor - Mental Health in Bridgton, ME

Q: What is R. Derstine's NPI number?

The NPI number for R. Derstine is 1114051984. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is R. Derstine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for R. Derstine was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 15, 2007

236A PORTLAND RD, BRIDGTON, ME 04009(207) 647-2400(207) 647-2400 Get Directions Write a Review

NPPES record last updated: November 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. R. Andrew Derstine Lcsw NPPES

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

MR. R. ANDREW DERSTINE LCSW (NPI 1114051984) is an individual mental health provider in Bridgton, Maine and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114051984

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. R. ANDREW DERSTINECredential: LCSW

Location Address236A PORTLAND RDBridgton, ME 04009

Mailing AddressPo Box 731Bridgton, ME 04009 · (207) 647-2400 · Fax (207) 647-2400

Phone(207) 647-2400

Fax(207) 647-2400

Sole ProprietorYes

Enumeration DateMarch 15, 2007

Last NPPES UpdateNovember 4, 2008

✔ NPI 1114051984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

236A PORTLAND RD, Bridgton, ME 04009

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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 R. Derstine's NPI number?

The NPI number for R. Derstine is 1114051984. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is R. Derstine located?

R. Derstine practices at 236A Portland Rd, Bridgton, ME 04009. The listed phone number is (207) 647-2400.

What is R. Derstine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for R. Derstine was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.