Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Mickkelsen PMHNP Bc LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1528502002

Kristen Mickkelsen PMHNP Bc LLC provides Psychiatric/Mental Health Nurse Practitioner services in Portland, Maine. Licensed in Maine. Registered with an NPI since 2016.

Licensed in
ME
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1321 Washington Ave Ste 304
Portland, ME 04103-3636
Phone: (207) 536-3088
Fax: (207) 536-3092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP121069 (ME)

Record details

NPI number1528502002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Mikkelsen — Owner · (207) 536-3088
NPI enumeratedDecember 19, 2016
Last updated in NPPESDecember 19, 2016
Mailing address106 Sunset Rd, Falmouth, ME 04105-2490

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