PSYCHMAINE
NPI 1891409025
Clinic/Center - Multi-Specialty in Portland, ME

Active since January 11, 2023
550 FOREST AVE STE 103, PORTLAND, ME 04101(207) 221-0635(207) 221-0634 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Jan 11, 2023 (2 updates tracked since 2023).

About Psychmaine NPPES

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

PSYCHMAINE (NPI 1891409025) is a healthcare organization registered as a multi-specialty in Portland, Maine and active in the NPI registry since January 2023. The organization lists Jonathan C Fellers, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1891409025
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePSYCHMAINE LLC
Location Address550 FOREST AVE STE 103Portland, ME 04101-1505
Mailing Address550 Forest Ave Ste 103Portland, ME 04101-1505 · (207) 221-0635 · Fax (207) 221-0634
Fax(207) 221-0634
Organization SubpartNo
Authorized OfficialJonathan C FellersPsychiatrist · (207) 221-0635
Enumeration DateJanuary 11, 2023
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
NPI 1891409025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
550 FOREST AVE STE 103, Portland, ME 04101

Other Names 1

Doing Business AsPsychmaine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
550 FOREST AVE STE 103
PORTLAND, ME 04101

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 Psychmaine LLC's NPI number?

The NPI number for Psychmaine LLC is 1891409025. It was assigned to this organization in the NPPES registry on January 11, 2023. The provider is doing business as Psychmaine.

Where is Psychmaine LLC located?

Psychmaine LLC is located at 550 Forest Ave Ste 103, Portland, ME 04101. The listed phone number is (207) 221-0635.

What is Psychmaine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Psychmaine LLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.