Active NPIIndividual provider

Dr. Micah G Malenfant, DNP, PMHNP-BC, RN

Nurse Practitioner, Psych/Mental Health in Scarborough, Maine

NPI Number1902415268
Practice location
15 Pleasant Hill RD Ste 204, Scarborough, ME 04074-7678
Fax
207-600-9625
Last updated
September 24, 2024

Micah Gordon Malenfant is a Nurse Practitioner, Psych/Mental Health based in Scarborough, ME. Micah Gordon Malenfant practices in Scarborough, ME and has the professional credentials of DNP, PMHNP-BC, RN. The NPI Number for Micah Gordon Malenfant is 1902415268 and holds a License No. CNP201195 (ME). The current practice location address for Micah Gordon Malenfant is 15 Pleasant Hill RD Ste 204, Scarborough, ME 04074-7678 and can be reached out via phone at 207-600-4025 and via fax at 207-600-9625.

Provider Profile Details

NPI Number
1902415268
Provider Name
Micah Gordon Malenfant
Credential
DNP, PMHNP-BC, RN
Provider Entity Type
Individual
Gender
Male
Address
15 Pleasant Hill RD Ste 204, Scarborough, ME 04074-7678
Phone Number
207-600-4025
Fax Number
207-600-9625
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 23, 2020
Last Update Date
September 24, 2024
Certification Date
September 24, 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
207-600-4025
Fax Number
207-600-9625
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
15 Pleasant Hill RD Ste 204
Scarborough, ME 04074-7678
City
Scarborough
State
ME
Zip
04074-7678

License Information

License Number
CNP201195
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 Dr. Micah G Malenfant, DNP, PMHNP-BC, RN?

The NPI number of Dr. Micah G Malenfant, DNP, PMHNP-BC, RN is 1902415268. It was assigned on July 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Micah G Malenfant, DNP, PMHNP-BC, RN?

Dr. Micah G Malenfant, DNP, PMHNP-BC, RN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in ME under license number CNP201195.

Where does Dr. Micah G Malenfant, DNP, PMHNP-BC, RN practice?

The practice location is 15 Pleasant Hill RD Ste 204, Scarborough, ME 04074-7678. The office can be reached at 207-600-4025 (phone) or 207-600-9625 (fax).

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 1902415268 directly on the NPPES registry website.

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