Provider Demographics
NPI:1831368042
Name:CENTRAL AROOSTOOK PSYCHIATRIC SERVICES LLC
Entity type:Organization
Organization Name:CENTRAL AROOSTOOK PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:S
Authorized Official - Last Name:GUERRETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-760-7024
Mailing Address - Street 1:521 MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-2341
Mailing Address - Country:US
Mailing Address - Phone:207-760-7024
Mailing Address - Fax:
Practice Address - Street 1:521 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2341
Practice Address - Country:US
Practice Address - Phone:207-764-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0166052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1831368042Medicaid
ME0004661Medicare PIN