SCOTT J WHITED


Address: 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101
Phone: 2076622221

SCOTT J WHITED (NPI# 1245719541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245719541
Entity Type Individual
Full Name SCOTT J WHITED
Credential PMHNP
Practice Address 216 Vaughan St.
Mcgeachy Hall
Portland
ME 04101
Mailing Address 901 Washington Ave Ste 100
Portland
ME 04103-2842
Practice Telephone 2076622221
Mailing Telephone 2078711200
Mailing Fax Number 2078711232
Enumeration Date 2018-08-08
Last Update Date 2020-03-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
CNP181201 ME Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN68863 ME Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
778 Main St, South Portland, ME 041065447 2078711200 2078711232
477 Congress St Ste 408, Portland, ME 041013431 2077737811 2077730663

Other Providers SCOTT WHITED

NPI Name Taxonomy Address Enumeration
1649896440 Scott Allen Whited Physical Medicine & Rehabilitation 14176 National Rd Sw, Etna, OH 43068-3363 2020-06-18

Office Location

Street Address 216 VAUGHAN ST.
MCGEACHY HALL
City PORTLAND
State ME
Zip Code 04101

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1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
1578019113 Lydia Ward-gray, Psyd, LLC Psychologist 19 South Street, Suite 4, Portland, ME 04101 2016-09-01
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City PORTLAND
Zip Code 04101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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