Organization Active NPI

Maine Neurobehavioral Services, P.a.

  • Psychologist
  • Falmouth, ME
National Provider Identifier
1043432628
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS875 Issued in ME
Legal business name
MAINE NEUROBEHAVIORAL SERVICES, P.A.
Practice address
21 Northbrook Dr
Suite 21B
Falmouth, ME 04105-1346
Phone
(207) 781-8977
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Dr. Heather McClelland, PH.D.NPI 1518977818
Title
Owner
Phone
(207) 781-8977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS875 ME Primary

Addresses

Primary practice location

21 Northbrook Dr
Suite 21B
Falmouth, ME 04105-1346

Mailing address

PO Box 302
Yarmouth, ME 04096-0302
Phone (207) 838-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080602000648 ME Part B Supplier - Clinic/Group Practice 9133299274 Receives reassigned benefits from 1 practitioner
Practice locations: Yarmouth, ME

National Provider Directory

National Provider Directory

Locations

21 Northbrook Dr
Ste 21B
Falmouth, ME 04105
Phone (207) 781-8977

45 Forest Falls Dr
Ste B2
Yarmouth, ME 04096
Phone (207) 329-7611

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1043432628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040960302",
            "telephone_number": "207-838-5688",
            "fax_number": "207-846-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NORTHBROOK DR",
            "address_2": "SUITE 21B",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051346",
            "telephone_number": "207-781-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE NEUROBEHAVIORAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAND",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-781-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.