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MICHAEL VRIESMAN PHD
NPI 1134575145
Psychologist - Clinical in Bangor, ME

Active since May 09, 2016PECOS Enrolled
35 STATE HOSPITAL DR, BANGOR, ME 04401(877) 421-8263 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2025, May 9, 2016 (2 updates tracked since 2016).

About Michael Vriesman Phd NPPES

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

MICHAEL VRIESMAN PHD (NPI 1134575145) is an individual clinical provider in Bangor, Maine, licensed in Michigan (6301019409) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134575145
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAEL VRIESMANCredential: PHD
Location Address35 STATE HOSPITAL DRBangor, ME 04401-8816
Mailing AddressG3230 Beecher Rd Ste 1Flint, MI 48532-3604 · (810) 342-5656 · Fax (810) 342-5600
Phone(877) 421-8263
Sole ProprietorNo
Enumeration DateMay 9, 2016
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1134575145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301019409
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
35 STATE HOSPITAL DR, Bangor, ME 04401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Vriesman Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.77 typical visit price
range $53.26 – $162.77
Typical copayment $40.69 (range $13.31 – $40.69)
Most-billed visit code 99205
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JULIE ANNE M JOY MSW
Social Worker (Clinical)
35 STATE HOSPITAL DR
BANGOR, ME 04401
Penobscot County (207) 623-8411
TOGUS VAMC
Clinic/Center (VA)
35 STATE HOSPITAL DR
BANGOR, ME 04401
Penobscot County (717) 277-6565
DR. LINDSAY MICHAUD OD
Optometrist
35 STATE HOSPITAL DR
BANGOR, ME 04401
Penobscot County (207) 561-3600
SARAH MARTINEAU
Pharmacist
35 STATE HOSPITAL DR
BANGOR, ME 04401
Penobscot County (207) 561-3600
JOSHUA ALLAN FULLERTON
Social Worker (Clinical)
35 STATE HOSPITAL DR
BANGOR, ME 04401
Penobscot County (207) 623-8411
ASHLEY E. WOODS LCSW, CCS
Social Worker (Clinical)
35 STATE HOSPITAL DR
BANGOR, ME 04401
Penobscot County (877) 421-8263
DR. BRIANNA RAE CHARLES PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
35 STATE HOSPITAL DR
BANGOR, ME 04401
Penobscot County (207) 561-3600
DR. JARED LENZ D.O.
Psychiatry & Neurology (Psychiatry)
35 STATE HOSPITAL DR
BANGOR, ME 04401
Penobscot County (207) 561-3651

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 Michael Vriesman's NPI number?

The NPI number for Michael Vriesman is 1134575145. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Where is Michael Vriesman located?

Michael Vriesman practices at 35 State Hospital Dr, Bangor, ME 04401. The listed phone number is (877) 421-8263.

What is Michael Vriesman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael Vriesman enrolled in Medicare?

Yes. Michael Vriesman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Vriesman was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.