Bishop Medical Group LLC (NPI# 1487256186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1487256186 |
| Entity Type | Organization |
| Organization Name | BISHOP MEDICAL GROUP LLC |
| Practice Address |
1250 Forest Ave Ste 201 Portland ME 04103-6403 |
| Practice Telephone | 2076713047 |
| Mailing Address |
1250 Forest Ave Ste 201 Portland ME 04103-6403 |
| Authorized Official Name | Cynthia Blake (MANAGER) |
| Authorized Official Telephone | 2076713047 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| No | 101YM0800X | Counselor · Mental Health | Behavioral Health & Social Service Providers | ||
| Yes | 2084A0401X | Psychiatry & Neurology · Addiction Medicine | Allopathic & Osteopathic Physicians |
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508091281 | Jonathan Carl Fellers | Psychiatry & Neurology | 550 Forest Ave Ste 103, Portland, ME 04101-1505 | 2009-05-25 |
| 1295875276 | Anthony J Kozma | Psychiatry & Neurology | 70 Center St Ste G7, Portland, ME 04101-3935 | 2007-02-07 |
| 1497802383 | Gilbert M. Simas | Psychiatry & Neurology | 11389 Nw Pumpkin Ct, Portland, OR 97229-1178 | 2007-01-04 |
| 1467545996 | Michael Philip Resnick | Psychiatry & Neurology | 3181 Ssam Jackson Park Rd, Portland, OR 97207 | 2006-10-02 |
| 1457823817 | Jonathan C Fellers Md Pa LLC | Psychiatry & Neurology | 550 Forest Ave Ste 103, Portland, ME 04101-1505 | 2018-12-26 |
| 1982846234 | Eve Leah Klein | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, L475, Portland, OR 97239-3011 | 2009-04-01 |
| 1265464614 | Edward A Mccarthy | Psychiatry & Neurology | 144 State St, Portland, ME 04101-3776 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1245325794 | Roger M Wilson | Psychiatry & Neurology | Dorothea Dix Agency, Bangor, ME 04401 | 2006-10-03 |
| 1821079237 | James Fine | Psychiatry & Neurology | 43 Hooper St., Wiscasset, ME 04578 | 2005-11-11 |
| 1124448196 | Christopher Mark Buttarazzi | Psychiatry & Neurology | 254 Western Ave, South Portland, ME 04106-2410 | 2014-04-17 |
| 1689755530 | Broadleaf Behavioral Health PC | Psychiatry & Neurology | 9 Old Sawmill Ln, Arundel, ME 04046-8164 | 2006-10-18 |
| Street Address |
1250 FOREST AVE STE 201 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.