Organization Active NPI

Mainely Psychology LLC

  • Psychologist
  • Springfield, OR
National Provider Identifier
1114615937
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MAINELY PSYCHOLOGY LLC
Practice address
1192 Island St
Springfield, OR 97477-3525
Phone
(650) 387-3541
NPI assigned
Apr 28, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Dr. Cady Victoria Kintner, PHDNPI 1740917947
Title
Psychologist
Phone
(207) 407-5915

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1192 Island St
Springfield, OR 97477-3525

Mailing address

1192 Island St
Springfield, OR 97477-3525
Phone (650) 387-3541

National Provider Directory

National Provider Directory

Locations

48 Front St
Ste 203
Bath, ME 04530

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1114615937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 ISLAND ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773525",
            "telephone_number": "650-387-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 ISLAND ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773525",
            "telephone_number": "650-387-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINELY PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "KINTNER",
        "authorized_official_first_name": "CADY",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "207-407-5915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.