What is R. Derstine's NPI number?

R. Derstine's National Provider Identifier (NPI) is 1114051984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is R. Derstine's specialty?

R. Derstine is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is R. Derstine located?

R. Derstine's practice location on file with NPPES is 236a Portland Rd, Bridgton, ME 04009.

What is R. Derstine's phone number?

The practice phone number listed in the NPPES registry for R. Derstine is (207) 647-2400.

Is R. Derstine's NPI active?

Yes — R. Derstine's NPI (1114051984) is active in the NPPES registry as of the last update on 2008-11-04.

IndividualActive

R. Derstine, LCSW

NPI 1114051984 · Mental Health Counselor · Bridgton, ME

R. Derstine, LCSW is a Mental Health Counselor provider in Bridgton, ME (NPI 1114051984).

Provider details

NPI number: 1114051984
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

236a Portland Rd

Bridgton, ME 04009

Phone: (207) 647-2400

Fax: (207) 647-2400

Street-level locationGet directions

More ME providers

Mailing address

Po Box 731