Active NPIIndividual provider

Samuel G Kingsley, NP

Nurse Practitioner, Psych/Mental Health in Scarborough, Maine

NPI Number1558935338
Practice location
15 Pleasant Hill RD Ste 204, Scarborough, ME 04074-7678
Fax
—
Last updated
October 4, 2024

Samuel G Kingsley is a Nurse Practitioner, Psych/Mental Health based in Scarborough, ME. Samuel G Kingsley practices in Scarborough, ME and has the professional credentials of NP. The NPI Number for Samuel G Kingsley is 1558935338 and holds a License No. CNP211320 (ME). The current practice location address for Samuel G Kingsley is 15 Pleasant Hill RD Ste 204, Scarborough, ME 04074-7678 and can be reached out via phone at 207-387-4801.

Provider Profile Details

NPI Number
1558935338
Provider Name
Samuel G Kingsley
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
15 Pleasant Hill RD Ste 204, Scarborough, ME 04074-7678
Phone Number
207-387-4801
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2021
Last Update Date
October 4, 2024
Certification Date
October 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Pleasant Hill RD Ste 204
Scarborough, ME 04074-7678
State
Maine
Zip
04074-7678
Phone Number
207-387-4801
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
233 Job RD
Standish, ME 04084-6530
City
Standish
State
ME
Zip
04084-6530
Phone Number
078-321-2122
Fax Number
207-799-9887

License Information

License Number
CNP211320
License State
ME
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samuel G Kingsley, NP?

The NPI number of Samuel G Kingsley, NP is 1558935338. It was assigned on May 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Samuel G Kingsley, NP?

Samuel G Kingsley, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in ME under license number CNP211320.

Where does Samuel G Kingsley, NP practice?

The practice location is 15 Pleasant Hill RD Ste 204, Scarborough, ME 04074-7678. The office can be reached at 207-387-4801 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558935338 directly on the NPPES registry website.

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