Healthcare Provider Details

I. General information

NPI: 1023228327
Provider Name (Legal Business Name): HAROLD AMSEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 KINGSLAND XING
ELLSWORTH ME
04605-2570
US

IV. Provider business mailing address

6 GLEN COVE DR
ROCKPORT ME
04856-4272
US

V. Phone/Fax

Practice location:
  • Phone: 207-667-6890
  • Fax:
Mailing address:
  • Phone: 207-596-8390
  • Fax: 207-593-5316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD18024
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number143252
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberMD18024
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: