Active NPIOrganization

Southern Maine Mental Health LLC

Psychologist, Clinical in Freeport, Maine

NPI Number1669335436
Practice location
20 Independence Dr Ste 3A, Freeport, ME 04032-1154
Fax
—
Last updated
December 8, 2025

Southern Maine Mental Health LLC is a healthcare organization based in Freeport, ME. Southern Maine Mental Health LLC practices in Freeport, ME. The NPI Number for Southern Maine Mental Health LLC is 1669335436. The current practice location address for Southern Maine Mental Health LLC is 20 Independence Dr Ste 3A, Freeport, ME 04032-1154 and can be reached out via phone at 603-380-6770.

Provider Profile Details

NPI Number
1669335436
Provider Name
Southern Maine Mental Health LLC
Provider Entity Type
Organization
Address
20 Independence Dr Ste 3A, Freeport, ME 04032-1154
Phone Number
603-380-6770
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Michael Tartaglia, PSYD · Owner · 603-380-6770
Provider Enumeration Date
December 8, 2025
Last Update Date
December 8, 2025
Certification Date
December 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Independence Dr Ste 3A
Freeport, ME 04032-1154
State
Maine
Zip
04032-1154
Phone Number
603-380-6770
Freeport, ME 04032Get directions →

Provider Business Mailing Address Details

Address
20 Independence Dr Ste 3A
Freeport, ME 04032-1154
City
Freeport
State
ME
Zip
04032-1154

License Information

Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Southern Maine Mental Health LLC?

The NPI number of Southern Maine Mental Health LLC is 1669335436. It was assigned on December 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Southern Maine Mental Health LLC?

Southern Maine Mental Health LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Southern Maine Mental Health LLC practice?

The practice location is 20 Independence Dr Ste 3A, Freeport, ME 04032-1154. The office can be reached at 603-380-6770 (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 1669335436 directly on the NPPES registry website.

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