Robert Peddicord PHD Group

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ROBERT PEDDICORD PHD GROUP

Practice address

200 Grove St
Bangor, ME 04401-4008

Phone

(207) 944-9315

NPI assigned

Mar 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert S. Peddicord, PHDNPI 1588715999

Title

Owner

Phone

(207) 944-9315

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Stephen Peddicord, PH.D.

  • Clinical Psychologist
  • Bangor, ME
  • NPI 1588715999
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1003319583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GROVE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROVE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014008",
            "telephone_number": "207-944-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT PEDDICORD PHD GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "PEDDICORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-944-9315",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Robbins
• Ray Arthur Robbins, CADC
• Robert E. Erickson, DMD, PLLC
• Robert F Anderson D.P.M.,M.D.,P.a.
• Robert L. Brookings, DMD, PA
• Robert W Haeberlein Jr MD PA
• Amanda Roberts, PA-C
• Paul Rollins Roberts, PA-C
• Samantha Roberts, CNA
• Sheryl A Roberts, SLPA

• Psychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.