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

Warren Benjamin Black

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1932502002

Warren Benjamin Black is a Nurse Practitioner in Bangor, Maine. Qualified in 2014, 12 years ago. Practices with Acadia Hospital Corp, a 86-clinician group and offers telehealth. Licensed in Maine.

Years since qualifying
12
Licensed in
ME
In the registry since
2014
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Practice location Address checks out

268 Stillwater Ave
Bangor, ME 04401-3945
Phone: (207) 973-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP141098 (ME)

Record details

NPI number1932502002
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2014
Last updated in NPPESOctober 3, 2014
Mailing address268 Stillwater Ave, P.O. Box 422, Bangor, ME 04401-3945

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Acadia Hospital Corp. — 86 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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