Active NPI
Associates for Psychotherapy
- Clinical Psychologist
- Portland, ME
National Provider Identifier
1093841231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS506
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louise A Zubrod, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026804 | Other | ME | ANTHEM |
| 117140000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- South Portland, ME
- NPI 1467588608
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.