DR. HENRY C. SKINNER (NPI# 1619949526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619949526 |
Entity Type | Individual |
Full Name | DR. HENRY C. SKINNER |
Credential | MD |
Practice Address |
1155 Lisbon St Lewiston ME 04240-5025 |
Mailing Address |
253 Main St Yarmouth ME 04096-6800 |
Practice Telephone | 2077839141 |
Practice Fax Number | 2073763808 |
Mailing Telephone | 2076501393 |
Enumeration Date | 2006-02-03 |
Last Update Date | 2018-09-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
222511 | MA | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD18501 | ME | Allopathic & Osteopathic Physicians |
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
222511 | MA | Allopathic & Osteopathic Physicians |
Street Address |
1155 LISBON ST |
City | LEWISTON |
State | ME |
Zip Code | 04240-5025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225637705 | Maria Ann Valente | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2020-10-26 |
1154955532 | Jessica Lachance | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2020-02-25 |
1245872001 | Jesse Daniel Audet | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2019-10-14 |
1679041479 | Renee M Scott | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2018-11-09 |
1346731791 | Nora Mcelroy | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2018-05-22 |
1699275511 | Thomas Peter Collins | Social Worker | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2018-02-16 |
1467962381 | Lindsay Elizabeth Cormier | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2017-10-05 |
1508219957 | Erica West | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2016-07-21 |
1891155792 | Nathaniel P Clark | Counselor | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2016-03-04 |
1780051037 | Christine Wyman | Social Worker | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2015-08-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
Find all providers in zip 04240 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780944488 | Monica L Daigle | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2012-05-29 |
1063648111 | Kimberly P Wells | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2009-06-03 |
1659467124 | Joshua Simon | Psychiatry & Neurology | 100 Campus Ave, Suite 208, Lewiston, ME 04240-6040 | 2006-10-04 |
1881701670 | David E Schenk | Psychiatry & Neurology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2006-08-25 |
1407872765 | Gina Oliveto | Psychiatry & Neurology | 100 Campus Ave, Suite 208, Lewiston, ME 04240-6040 | 2006-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144455296 | Peter Y. Kang | Psychiatry & Neurology | 7 Oak Hill Ter Ste 218, Scarborough, ME 04074 | 2009-05-19 |
1235397696 | Kelly Katherine Mcguire | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2008-06-01 |
1003086109 | Gordon Adair Heath | Psychiatry & Neurology | 96 Ocean St, Unit 4, South Portland, ME 04106-2855 | 2008-03-04 |
1841349255 | Corabell Arps | Psychiatry & Neurology | 970 Illinois Ave, Bangor, ME 04401-2722 | 2007-01-09 |
1003977257 | Andrew Cook | Psychiatry & Neurology | 11 State House Station, Augusta, ME 04011-0011 | 2006-12-12 |
1952408510 | David Rollo Hawkins Jr. | Psychiatry & Neurology | 88 Hammond St, Fourth Floor, Bangor, ME 04401-4953 | 2006-09-17 |
1639197932 | Daniel Bates | Psychiatry & Neurology | 124 Fletcher St, Kennebunk, ME 04043-6877 | 2006-07-17 |
1841677804 | Kasey May Moss | Psychiatry & Neurology | 123 Andover Rd, Westbrook, ME 04092-3848 | 2015-04-29 |
1811300965 | Danielle Hansen Sipsock | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2014-06-06 |
1538407408 | Francine F. Blattner, Md.pa | Psychiatry & Neurology | 1486b Broadway, South Portland, ME 04106-2602 | 2013-01-28 |
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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.