Organization Active NPI

Associates for Psychotherapy

  • Clinical Psychologist
  • Portland, ME
National Provider Identifier
1093841231
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS506 Issued in ME
Legal business name
ASSOCIATES FOR PSYCHOTHERAPY
Practice address
22 Free St
Suite 402
Portland, ME 04101-3960
Phone
(207) 774-5741
Fax
(207) 772-4322
NPI assigned
Feb 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Louise A Zubrod, PHDNPI 1467588608
Title
Owner
Phone
(207) 774-5741

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS506 ME Primary

Addresses

Primary practice location

22 Free St
Suite 402
Portland, ME 04101-3960

Mailing address

22 Free St
Suite 402
Portland, ME 04101-3960
Phone (207) 774-5741

Other identifiers 2

IdentifierTypeStateIssuer
026804OtherMEANTHEM
117140000MedicaidME

National Provider Directory

National Provider Directory

Locations

22 Free St
Ste 402
Portland, ME 04101
Phone (207) 619-3356

Practitioners & affiliated clinicians

Practitioners 1

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": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1093841231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FREE ST",
            "address_2": "SUITE 402",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013960",
            "telephone_number": "207-774-5741",
            "fax_number": "207-772-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FREE ST",
            "address_2": "SUITE 402",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013960",
            "telephone_number": "207-774-5741",
            "fax_number": "207-772-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FOR PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "ZUBROD",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-774-5741",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "026804",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117140000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.