Active NPI
Thomas P Cushman, PHD
- Psychologist
- Auburn, ME
National Provider Identifier
1013086602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS569
- Practice address
- 2 Goff St
Auburn, ME 04210-5019 - Phone
- (207) 784-5795
- Fax
- (207) 784-5796
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS569 | ME | Primary |
Addresses
Primary practice location
2 Goff St
Auburn, ME 04210-5019
Mailing address
2 Goff St
Auburn, ME 04210-5019
Phone (207) 784-5795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03308 | Other | ME | ANTHEM BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS569 | ME | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Goff Street Associates, PA | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Auburn, ME
- NPI 1538494422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013086602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GOFF ST",
"city": "AUBURN",
"state": "ME",
"postal_code": "042105019",
"telephone_number": "207-784-5795",
"fax_number": "207-784-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GOFF ST",
"city": "AUBURN",
"state": "ME",
"postal_code": "042105019",
"telephone_number": "207-784-5795",
"fax_number": "207-784-5796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSHMAN",
"first_name": "THOMAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "03308",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.