Chrysalis Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS784 Issued in ME

Legal business name

CHRYSALIS PSYCHOLOGICAL SERVICES

Practice address

323 W Broadway
Bangor, ME 04401-5872

Phone

(207) 945-6287

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Lachlan McDonald, PH.D.

Title

Psychologist Partner

Phone

(207) 945-6287

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1154330835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015872",
            "telephone_number": "207-945-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015872",
            "telephone_number": "207-945-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LACHLAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST PARTNER",
        "authorized_official_telephone_number": "207-945-6287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob P Christman, DDS
• Eric Christofferson, FNPC
• Christopher a. Rumsey, D.O., P.a.
• Ngozi Miriam Christopher
• Cherie Christopherson, FNP-C
• Chia Chen Chuang, DO
• Jennifer Chung, LCPC-C
• Rebecca Elaine Churchill, CADC
• James Richard Cianciolo, NP
• Mark Anthony Cirrinone, LCSW

• Psychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.