Northeast Evaluation Specialists

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

OT1541 Issued in ME

Legal business name

NORTHEAST EVALUATION SPECIALISTS

Practice address

190 Riverside St Unit 4a
Portland, ME 04103-1073

Phone

(888) 575-4202

NPI assigned

Oct 22, 2013

Last updated

Oct 22, 2013By 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

James Samson, MS, OTR/L

Title

Principal

Phone

(888) 575-4202

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Stefanie Griffin, PHD

  • Clinical Neuropsychologist
  • Dover, NH
  • NPI 1144374000
  NPD (past)
• Tina M Trudel, PHD

  • Clinical Neuropsychologist
  • Dover, NH
  • NPI 1831248251
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1073941464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST STE 443",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203831",
            "telephone_number": "888-575-4202",
            "fax_number": "603-742-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 RIVERSIDE ST UNIT 4A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031073",
            "telephone_number": "888-575-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST EVALUATION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "888-575-4202",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ME",
            "license": "OT1541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "1295991164",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Waye Norris, CCC-SLP
• Kathleen A Norris, DC
• North Deering Dental Assoc Inc
• North Optical LLC
• Erika Lynn North, PH.D.
• Northeast Hearing and Speech Center, Inc.
• Northeast Transit LLC (Northeast Transit)
• Northeast Wellness Group, LLC.
• Northstar Care LLC
• Casey Norton, MD

• Physical Therapy Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Physical Therapy Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.