Individual provider Active NPI

Paul J Sturmer, PHD

  • Psychologist
  • Sanford, ME
National Provider Identifier
1124065073
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS1008 Issued in ME
Practice address
312 Cottage St Ste F
Sanford, ME 04073-1835
Phone
(207) 727-6585
Fax
(833) 727-6585
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS1008 ME Primary

Addresses

Primary practice location

312 Cottage St Ste F
Sanford, ME 04073-1835

Mailing address

312 Cottage St Ste F
Sanford, ME 04073-1835
Phone (207) 727-6585

Other identifiers 2

IdentifierTypeStateIssuer
098303OtherMEANTHEM LEGACY NUMBER
1124065073MedicaidME

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
I20050908000545 ME Practitioner - Clinical Psychologist 0749212900 Practice locations: Sanford, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

312 Cottage St
Suite F
Sanford, ME 04073-1835
Phone (207) 727-6585

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1124065073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 COTTAGE ST STE F",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731835",
            "telephone_number": "207-727-6585",
            "fax_number": "833-727-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COTTAGE ST STE F",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731835",
            "telephone_number": "207-727-6585",
            "fax_number": "833-727-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURMER",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LEGACY NUMBER",
            "identifier": "098303",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124065073",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.