Individual provider Active NPI

Martin Robert Finkelstein, PH.D

  • Psychologist
  • Scarborough, ME
National Provider Identifier
1174678304
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
291 Issued in ME
Practice address
20 Dylan Dr
Scarborough, ME 04074-4415
Phone
(207) 219-8975
NPI assigned
Jan 25, 2007
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 291 ME Primary

Addresses

Primary practice location

20 Dylan Dr
Scarborough, ME 04074-4415

Mailing address

20 Dylan Dr
Scarborough, ME 04074-4415
Phone (207) 219-8975

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
I20120314000034 ME Practitioner - Clinical Psychologist 8820257652 Practice locations: Scarborough, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Dylan Dr
Scarborough, ME 04074-4415
Phone (207) 219-8975

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291MEMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1174678304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DYLAN DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040744415",
            "telephone_number": "207-219-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DYLAN DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040744415",
            "telephone_number": "207-219-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKELSTEIN",
        "first_name": "MARTIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.