BLUE SWAN PSYCHIATRY, PLLC
NPI 1932065489
Psychiatry & Neurology - Psychiatry in Wells, ME
About Blue Swan Psychiatry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE SWAN PSYCHIATRY, PLLC (NPI 1932065489) is a healthcare organization registered as a psychiatry in Wells, Maine and active in the NPI registry since December 2025. The organization lists Domantas Mikonis, Owner/sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Swan Psychiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Swan Psychiatry, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Blue Swan Psychiatry, PLLC's NPI number?
The NPI number for Blue Swan Psychiatry, PLLC is 1932065489. It was assigned to this organization in the NPPES registry on December 29, 2025.
Where is Blue Swan Psychiatry, PLLC located?
Blue Swan Psychiatry, PLLC is located at 2178 Post Rd Ste 205, Wells, ME 04090. The listed phone number is (207) 216-1342.
What is Blue Swan Psychiatry, PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Blue Swan Psychiatry, PLLC enrolled in Medicare?
Yes. Blue Swan Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Swan Psychiatry, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Blue Swan Psychiatry, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blue Swan Psychiatry, PLLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Blue Swan Psychiatry, Pllc · NPI 1932065489
Psychiatry organization in Wells, Maine. Organization record, active in the CMS NPPES registry since December 29, 2025.
## Identity
- **NPI:** 1932065489 (Entity type: Organization)
- **Enumerated:** December 29, 2025
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Domantas Mikonis, OWNER/SOLE MEMBER
## Practice location
- **Address:** 2178 POST RD STE 205, Wells, ME 04090-4794
- **Phone:** (207) 216-1342
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932065489) · Data from the CMS NPPES public registry.