Provider Demographics
NPI:1275136517
Name:NEW PROGRESS PSYCHIATRY LLC
Entity Type:Organization
Organization Name:NEW PROGRESS PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:ED
Authorized Official - Last Name:CARDURNS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:207-530-8090
Mailing Address - Street 1:PO BOX 1960
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04402-1960
Mailing Address - Country:US
Mailing Address - Phone:207-530-8090
Mailing Address - Fax:
Practice Address - Street 1:73 HAMMOND ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4957
Practice Address - Country:US
Practice Address - Phone:207-530-8090
Practice Address - Fax:207-888-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty