Active NPI
Julie L. Quimby, PHD
- Adult Mental Health Clinic/Center
- Brunswick, ME
National Provider Identifier
1063860229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- PS1472
- Legal business name
- JULIE L. QUIMBY, PHD
- Practice address
- 14 Maine St
Suite 216B
Brunswick, ME 04011-2049 - Phone
- (860) 794-6850
- NPI assigned
- May 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlin H White, PHD
- Title
- Psychologist
- Phone
- (860) 794-6850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | PS1472 | ME | Primary |
Addresses
Primary practice location
14 Maine St
Suite 216B
Brunswick, ME 04011-2049
Mailing address
14 Maine St
Suite 216B
Brunswick, ME 04011-2049
Phone (860) 794-6850
National Provider Directory
National Provider DirectoryLocations
14 Maine St
Ste 216B
Brunswick, ME 04011
Phone (207) 522-5543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464393600000",
"number": "1063860229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MAINE ST",
"address_2": "SUITE 216B",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112049",
"telephone_number": "860-794-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MAINE ST",
"address_2": "SUITE 216B",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112049",
"telephone_number": "860-794-6850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE L. QUIMBY, PHD",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-28",
"last_updated": "2016-05-28",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "KAITLIN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "860-794-6850",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "ME",
"license": "PS1472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.