Individual provider Active NPI

Victoria M McCain, PHD

  • Clinical Child & Adolescent Psychologist
  • South Portland, ME
National Provider Identifier
1073690608
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
30569 Issued in TX
Practice address
778 Main St Ste 8
South Portland, ME 04106-5447
Phone
(207) 879-6160
Fax
(207) 871-5668
NPI assigned
Nov 1, 2006
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 30569 TX Primary

Addresses

Primary practice location

778 Main St Ste 8
South Portland, ME 04106-5447

Mailing address

801 7TH Ave
Revenue Management
Fort Worth, TX 76104-2733
Phone (682) 885-4157

Other identifiers 8

IdentifierTypeStateIssuer
10013975OtherTXAMERIGROUP PIN
124163OtherTXSUPERIOR PIN
86922AOtherTXBCBSTX IND PIN
00G981OtherTXBCBSTX GRP PIN
165067301MedicaidTX
75205164617OtherTXPBH PIN
1336198894OtherGRP NPI NUMBER
2241238OtherTXFIRSTHEALTH PIN

Other names 1

  • Victoria J McCain Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204000527 ME Practitioner - Clinical Psychologist 3476897349 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30569TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Oct 29, 2018 Accepting new patients
Spurwink Services Incorporated CurrentSince Aug 12, 2019 Accepting new patients
Maine Medical Partners Psychologist CurrentSince Oct 29, 2018 Accepting new patients
Spurwink Services Incorporated PastSince Aug 12, 2019 Accepting new patients
Cook Children's Medical Center Clinical Child & Adolescent Past Accepting new patients

Locations

1577 Congress St
Ste 2
Portland, ME 04102
Phone (207) 662-1622

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

901 Washington Ave
Ste 100
Portland, ME 04103
Phone 20787112112145

9 Hillcrest Ave
Randolph, ME 04346
Phone (207) 582-9205

778 Main St
South Portland, ME 04106
Phone (207) 775-7758

778 Main St
Ste 8
South Portland, ME 04106
Phone (207) 879-6160

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1073690608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 7TH AVE",
            "address_2": "REVENUE MANAGEMENT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042733",
            "telephone_number": "682-885-4157",
            "fax_number": "682-885-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 MAIN ST STE 8",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065447",
            "telephone_number": "207-879-6160",
            "fax_number": "207-871-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "30569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PIN",
            "identifier": "10013975",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR PIN",
            "identifier": "124163",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX IND PIN",
            "identifier": "86922A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX GRP PIN",
            "identifier": "00G981",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165067301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PBH PIN",
            "identifier": "75205164617",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI NUMBER",
            "identifier": "1336198894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHEALTH PIN",
            "identifier": "2241238",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "MCCAIN",
            "middle_name": "J",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.