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MICHELLE D HENNEBERRY PMHNP
NPI 1215988852
Nurse Practitioner - Psychiatric/Mental Health in Bangor, ME

Active since May 16, 2006
263 STATE ST, SUITE 23, BANGOR, ME 04401(207) 945-3615(207) 945-3444 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle D Henneberry Pmhnp NPPES

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

MICHELLE D HENNEBERRY PMHNP (NPI 1215988852) is an individual psychiatric/mental health provider in Bangor, Maine, licensed in Maine (R037051) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1215988852
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE D HENNEBERRYCredential: PMHNP
Location Address263 STATE ST, SUITE 23Bangor, ME 04401-5435
Mailing Address263 State St, Suite 23Bangor, ME 04401-5435 · (207) 945-3615 · Fax (207) 945-3444
Phone(207) 945-3615
Fax(207) 945-3444
Sole ProprietorYes
Enumeration DateMay 16, 2006
Last NPPES UpdateDecember 17, 2009
✔ NPI 1215988852 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 · R037051
263 STATE ST, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINP61540ME
Other048586ME · Anthem
Medicare ID-Type UnspecifiedNP3816ME
Medicaid255830000ME

Other Providers at the Same Location NPPES 6

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

COMFORTING CHOICES
Home Health
263 STATE ST, SUITE 30 BOX 1
BANGOR, ME 04401
Penobscot County (207) 991-3245
A BODY IN KNEAD, LLC
Massage Therapist
263 STATE ST, SUITE 6
BANGOR, ME 04401
Penobscot County (207) 989-7473
PAMELA ABBOTT IPH
Dental Hygienist
263 STATE ST, SUITE 24
BANGOR, ME 04401
Penobscot County (207) 852-3022
MAI HUONG THI NGUYEN LCSW
Social Worker (Clinical)
263 STATE ST, SUITE 5
BANGOR, ME 04401
Penobscot County (207) 992-2812
DEBRA ANN SHAW LMT
Massage Therapist
263 STATE ST, SUITE 6
BANGOR, ME 04401
Penobscot County (207) 989-7473
PETER C COOK, MD LLC
Internal Medicine
263 STATE ST
BANGOR, ME 04401
Penobscot County (207) 945-9441

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 Michelle Henneberry's NPI number?

The NPI number for Michelle Henneberry is 1215988852. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Michelle Henneberry located?

Michelle Henneberry practices at 263 State St Suite 23, Bangor, ME 04401. The listed phone number is (207) 945-3615.

What is Michelle Henneberry'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 Michelle Henneberry was last updated on December 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.