Carlann M. Welch, Psy.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS847 Issued in ME

Legal business name

CARLANN M. WELCH, PSY.D., LLC

Practice address

57 Exchange St
Suite 403
Portland, ME 04101-5000

Phone

(207) 775-0382

Fax

(207) 775-4454

NPI assigned

Jul 27, 2009

Last updated

Jul 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlann M Welch, PSY.D.NPI 1063554947

Title

Managing Member

Phone

(207) 775-0382

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlann M Welch, PSY.D.

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Portland, ME
  • NPI 1063554947
  Authorized official Same address or phone

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1053542910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 EXCHANGE ST",
            "address_2": "SUITE 403",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015000",
            "telephone_number": "207-775-0382",
            "fax_number": "207-775-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 EXCHANGE ST",
            "address_2": "SUITE 403",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015000",
            "telephone_number": "207-775-0382",
            "fax_number": "207-775-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLANN M. WELCH, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "CARLANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "207-775-0382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153990000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.