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).
| Nation Provider Identifier (NPI) | 1245719541 |
| Entity Type | Individual |
| Full Name | Scott J Whited |
| Credential | PMHNP |
| Gender | Male |
| Practice Address |
216 Vaughan St. Mcgeachy Hall Portland ME 04101 |
| Practice Telephone | 2076622221 |
| Mailing Address |
901 Washington Ave Ste 100 Portland 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 477 Congress St Ste 408, Portland, ME 041013431 | 2077737811 | 2077730663 |
| 778 Main St, South Portland, ME 041065447 | 2078711200 | 2078711232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649896440 | Scott Allen Whited | Physical Medicine & Rehabilitation | 14176 National Rd Sw, Etna, OH 43068-3363 | 2020-06-18 |
| NPI | 1245719541 |
| PAC ID by PECOS | 6204171549 |
| Professional Enrollment ID | I20181214001524 |
| Full Name | Scott J Whited |
| Organization Legal Name | SPURWINK SERVICES INCORPORATED |
| Phone Number | 2077737811 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810026945 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psychiatric/Mental Health |
| Definition to come... |
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| 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 |
| Find all providers in PORTLAND | ||||
| Street Address |
216 VAUGHAN ST. MCGEACHY HALL |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101 |
| 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 |
| Find all providers in zip 04101 | ||||
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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.