WABANAKI PUBLIC HEALTH AND WELLNESS
NPI 1689335184
Psychologist - Addiction (Substance Use Disorder) in Bangor, ME
About Wabanaki Public Health And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WABANAKI PUBLIC HEALTH AND WELLNESS (NPI 1689335184) is a healthcare organization registered as an addiction (substance use disorder) in Bangor, Maine and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 4, 2027, maintains a secondary practice location in Millinocket, and lists Sharon Mae Jordan, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Secondary Practice Location 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 20D1048544
Wabanaki Public Health And Wellness · Bangor, MEOther Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689335184, enumerated as an "organization" on January 06, 2022.
The provider is located at 157 PARK ST BANGOR, ME 04401 and the phone number is (207) 631-1536.
Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).
