Individual
DR. GEOFFRY W PHILLIPS MCENANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, APRN, BC
Contact information
Practice address
48 SPRUCE AVE., PEAKS ISLAND, ME 04108
(857) 290-8197
(866) 323-2249
Mailing address
48 SPRUCE AVE., PEAKS ISLAND, ME 04108
(617) 696-7925
(617) 322-1084
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
239814
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008805
VALUE OPTIONS
MA
01
—
269301000
MAGELLAN HEALTH SERVICES
MA
01
—
346824
TUFTS HEALTH PLAN
MA
01
—
3737024
AETNA
MA
01
—
9631-01
HARVARD PILGRIM HEALTH CA
MA
01
—
NS0544
MEDICARE PART B
MA
01
—
PN0702
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/19/2007
Last updated
06/09/2023
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