DYLAN M MCKENNEY (NPI# 1922233071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922233071 |
| Entity Type | Individual |
| Full Name | DYLAN M MCKENNEY |
| Credential | MD |
| Practice Address |
93 Campus Ave Lewiston ME 04240-6030 |
| Mailing Address |
Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 2077778700 |
| Practice Fax Number | 2077778826 |
| Mailing Telephone | 2077778950 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD19445 | ME | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD19445 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Campus Ave, Suite 208, Lewiston, ME 042406040 | 2077778974 |
| Street Address |
93 CAMPUS AVE |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725465 | Ronald M. Reilly | Emergency Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2005-07-28 |
| 1538778972 | Alyssa K Rouleau | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2020-07-30 |
| 1356802540 | Phyllis Wolf Wilkins | Registered Nurse | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-03-29 |
| 1306303813 | Katherine Jeniffer Dawkins | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-02-21 |
| 1942789482 | Hospitalist Medicine Physicians of Maine -tcg, Pllc | Internal Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2018-08-07 |
| 1942722723 | Valerie Denison Porcello | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2017-07-12 |
| 1487005088 | Jessica E Newcomb | Nurse Anesthetist, Certified Registered | 93 Campus Ave, Lewiston, ME 04240 | 2016-06-24 |
| 1700236742 | Andrea Michele Carr | Registered Nurse | 93 Campus Ave, Lewiston, ME 04240-6030 | 2016-06-21 |
| 1710343777 | Patricia Rand | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2016-01-06 |
| 1558731034 | Janice M Oliveira | Nurse Anesthetist, Certified Registered | 93 Campus Ave, St Mary's Anesthesia Associates,p.a., Lewiston, ME 04240-6030 | 2015-09-28 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DYLAN M MCKENNEY.
| 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.