DR. PETER M MIRKIN


Address: 477 Congress St, 5th Floor, Portland, ME 04101-3427
Phone: 2073291553

DR. PETER M MIRKIN (NPI# 1578794467) 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) 1578794467
Entity Type Individual
Full Name DR. PETER M MIRKIN
Credential M.D.
Practice Address 477 Congress St
5th Floor
Portland
ME 04101-3427
Mailing Address 15 Phinney St
Gorham
ME 04038-2061
Practice Telephone 2073291553
Mailing Telephone 2073291553
Enumeration Date 2009-07-27
Last Update Date 2009-07-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
020367 CT Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
014555 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT CONNECTICUT STATE LICENSE 020367 01
DEA NUMBER AM9572997 01
ME MAINE STATE LICENSE 014555 01

Office Location

Street Address 477 CONGRESS ST
5TH FLOOR
City PORTLAND
State ME
Zip Code 04101-3427

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811985963 David Rawson Hotelling Internal Medicine 477 Congress St, 5th Floor, Portland, ME 04101-3427 2005-10-12
1891167664 Karen Gato Registered Nurse 477 Congress St, Suite 408, Portland, ME 04101-3427 2015-10-20
1760731707 Jane Tull Watson Counselor 477 Congress St, Suite 408, Portland, ME 04101-3427 2012-09-06
1427357367 Eileen Kalikow Counselor 477 Congress St, Suite 418, Portland, ME 04101-3427 2011-03-17
1275856072 Leah Noel Spinrad Massage Therapist 477 Congress St, Suite 402, Portland, ME 04101-3427 2010-03-08
1780832048 Nationwide Sleep Diagnostics, LLC Clinical Medical Laboratory 477 Congress St, 5th Floor, Portland, ME 04101-3427 2008-08-28
1760507297 Spurwink Services Incorporated Case Management 477 Congress St, 4th Floor, Portland, ME 04101-3427 2007-03-21
1154494540 Meagan Stiles Social Worker 477 Congress St, Portland, ME 04101-3427 2006-11-16
1750397766 Robert S. Myers Counselor 477 Congress St, Suite 403, Portland, ME 04101-3427 2006-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
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
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
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
Find all providers in zip 04101

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447878947 Celia Mantovani Psychiatry & Neurology 15 Cypress St, Portland, ME 04103-2008 2020-07-10
1538782834 Endeavor Psychiatry LLC Psychiatry & Neurology Sw, Portland, OR 97219-5885 2020-05-20
1154942142 Prisma Wellness LLC Psychiatry & Neurology 10260 Sw Greenburg Rd Fl 4, Portland, OR 97223-5500 2020-04-30
1588291082 Alexis Family Psychiatry, LLC Psychiatry & Neurology 415 Congress St Ste 202a, Portland, ME 04101-3500 2020-03-24
1881188084 Geriatric Psychiatry Associates Psychiatry & Neurology 123 Nw 12th Ave Apt 424, Portland, OR 97209-4145 2018-06-20
1982104063 Carl Chi Psychiatry & Neurology 22 Goodrich Ln, Portland, CT 06480-1063 2018-02-15
1154839108 Cascade Tms LLC Psychiatry & Neurology 205 Se Spokane St Ste 301, Portland, OR 97202-6487 2018-01-11
1538601737 Diana S Domnitei Md LLC Psychiatry & Neurology 1012 Sw King Ave Ste 306, Portland, OR 97205-1110 2016-11-06
1104286269 Anne Fleming, Md, LLC Psychiatry & Neurology 2340 Nw Thurman St Ste 202, Portland, OR 97210-2579 2016-03-02
1417338708 Andrew Justin Ruege Psychiatry & Neurology 5421 Sw Patton Rd, Portland, OR 97221-2226 2015-06-12
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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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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