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KRISTEN MICKKELSEN PMHNP BC LLC
NPI 1528502002
Nurse Practitioner - Psychiatric/Mental Health in Portland, ME

Active since December 19, 2016
1321 WASHINGTON AVE, SUITE 304, PORTLAND, ME 04103(207) 536-3088(207) 536-3092 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristen Mickkelsen Pmhnp Bc Llc NPPES

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

KRISTEN MICKKELSEN PMHNP BC LLC (NPI 1528502002) is a healthcare organization registered as a psychiatric/mental health in Portland, Maine and active in the NPI registry since December 2016. The organization lists Kristin A Mikkelsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1528502002
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKRISTEN MICKKELSEN PMHNP BC LLC
Location Address1321 WASHINGTON AVE, SUITE 304Portland, ME 04103-3636
Mailing Address106 Sunset RdFalmouth, ME 04105-2490 · (207) 536-3088 · Fax (207) 536-3092
Phone(207) 536-3088
Fax(207) 536-3092
Organization SubpartNo
Authorized OfficialKristin A MikkelsenOwner · (207) 536-3088
Enumeration DateDecember 19, 2016
✔ NPI 1528502002 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 · CNP121069
1321 WASHINGTON AVE, Portland, ME 04103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

NICHOLAS D PENNELL FNP
Nurse Practitioner (Family)
1321 WASHINGTON AVE, 301
PORTLAND, ME 04103
Cumberland County (207) 780-6565
PAULA CURRAN LCSW
Social Worker (Clinical)
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (207) 541-9364
YVONNE L. DECORY M.D., P.A.
Psychiatry & Neurology (Psychiatry)
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (207) 541-9354
LAUREN HERDRICH MA, LPC
Counselor (Professional)
1321 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 274-1920
KATHY DAHMS FNP
Nurse Practitioner (Family)
1321 WASHINGTON AVE, SUITE 310
PORTLAND, ME 04103
Cumberland County (207) 780-6565
JENNIFER A BLANCHETTE PSYD
Psychologist (Clinical)
1321 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 749-2343
KAREN HEROUX LCSW
Social Worker (Clinical)
1321 WASHINGTON AVE, SUITE 106
PORTLAND, ME 04103
Cumberland County (888) 806-8801
DIALECTICAL AND COGNITIVE BEHAVIORAL THERAPY OF NH, PLLC
Community/Behavioral Health
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (323) 723-2864

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 Kristen Mickkelsen Pmhnp Bc LLC's NPI number?

The NPI number for Kristen Mickkelsen Pmhnp Bc LLC is 1528502002. It was assigned to this organization in the NPPES registry on December 19, 2016.

Where is Kristen Mickkelsen Pmhnp Bc LLC located?

Kristen Mickkelsen Pmhnp Bc LLC is located at 1321 Washington Ave Suite 304, Portland, ME 04103. The listed phone number is (207) 536-3088.

What is Kristen Mickkelsen Pmhnp Bc LLC'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 Kristen Mickkelsen Pmhnp Bc LLC was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.