Scott J Whited
Nurse Practitioner (Psychiatric/Mental Health)

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 Identifier (NPI) 1245719541
Entity Type Individual
Full Name Scott J Whited
Credential PMHNP
Gender Male
Practice Address 216 Vaughan St.
Mcgeachy Hall
ME 04101
Practice Telephone 2076622221
Mailing Address 901 Washington Ave Ste 100
ME 04103-2842
Mailing Telephone 2078711200
Mailing Fax Number 2078711232
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-08-08
Last Update Date 2020-03-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers CNP181201 ME
No 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers RN68863 ME

Secondary Practice Locations

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

Providers with the same name

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

Physician Overview

NPI 1245719541
PAC ID by PECOS 6204171549
Professional Enrollment ID I20181214001524
Full Name Scott J Whited
Phone Number 2077737811
Gender M
Graduation Year 2018
Group Practice PAC ID 7810026945
Number of Group Practice Members 54
Accepts Medicare Assignment Y

Taxonomy Information

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

Taxonomy Definition

Definition to come...

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1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
1538534862 Psychiatry Solutions, P.C. Nurse Practitioner 477 Congress St Fl 5, Portland, ME 04101-3457 2015-12-11
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Office Location

Street Address 216 VAUGHAN ST.
State ME
Zip Code 04101

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851996987 Karen Tinkham Pharmacist 2r 295 Forest Ave., Portland, ME 04101 2020-12-04
1669076121 Dawn Lisowski Pharmacist 2r 295 Forest Ave, Hannaford Plaza, Portland, ME 04101 2020-11-25
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
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
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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.