Provider Demographics
NPI:1548031834
Name:ACADIA PSYCHIATRY PLLC
Entity type:Organization
Organization Name:ACADIA PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA, PMHNP-BC
Authorized Official - Phone:207-367-3954
Mailing Address - Street 1:PO BOX 540
Mailing Address - Street 2:
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609-0540
Mailing Address - Country:US
Mailing Address - Phone:207-367-3954
Mailing Address - Fax:207-569-6087
Practice Address - Street 1:1049 MAIN ST STE 2S
Practice Address - Street 2:
Practice Address - City:MOUNT DESERT
Practice Address - State:ME
Practice Address - Zip Code:04660-6318
Practice Address - Country:US
Practice Address - Phone:207-367-3954
Practice Address - Fax:207-569-6087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty