Theodore Emerson Chaffee, LMFT
Individual provider Active NPI Marriage & Family Therapist · Portland, ME
NPI 1154590412 · NPPES record last updated Feb 20, 2008
Key facts
- NPI
- 1154590412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MF529 (ME)
- Practice address
- 17 South St
Portland, ME 04101-3914 - Phone
- (207) 773-6772
- Fax
- (207) 772-8400
- NPI assigned
- Feb 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF529 | ME | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetser | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF529 | ME | Yes |
Addresses
Primary practice location
17 South St
Portland, ME 04101-3914
Mailing address
17 South St
Portland, ME 04101-3914
Phone (207) 773-6772
Other providers in Portland, ME
- Anita Chadbourne
- Karen S Chadbourne
- Kyle Chadeayne
- Grace Chadwick
- Katelyn Chadwick
- Jacqueline Chait
- Debra Ann Chalmers
- Zachary Chaloner
- Janice Chamberland
- Karissa Chambers
All providers in Portland, ME · Marriage & Family Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.