Martin Margulis, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS178 Issued in ME

Practice address

40 Upper Mast Landing Rd
Freeport, ME 04032-6417

Phone

(207) 780-0500

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164573390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UPPER MAST LANDING RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326417",
            "telephone_number": "207-780-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UPPER MAST LANDING RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326417",
            "telephone_number": "207-780-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGULIS",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "039728",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa W Lucas, D.O.
• Romeo Augusto Lucas, D.O.
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• Maine Optometry PA
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• Matthew Maslowski
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• Jessica Benton McCurdy, M.A.
• Armel Mendoza, PT
• Paul Jerome Mentag

• Clinical Psychologist in Freeport, ME
• Providers in Freeport, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.