# JUAN MATEO PMHNP-BC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750212742
- **Authorized official:** JUAN CARLOS MATEO PMHNP-BC/ APRN-NP (PMHNP)
- **Authorized official phone:** (718) 913-8899

## Contact information

- **Practice address:** 744 ROOSEVELT TRL STE 207, WINDHAM, ME 04062-5281
- **Practice address phone:** (207) 200-8487
- **Practice address fax:** (207) 401-7198
- **Mailing address:** 401 CUMBERLAND AVE APT 203, PORTLAND, ME 04101-2872
- **Mailing address phone:** (207) 200-8487
- **Mailing address fax:** (207) 401-7198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2026
- **Last updated:** 05/27/2026