Active NPI
James McElligott, PSYD
- Clinical Psychologist
- Portland, ME
National Provider Identifier
1205210127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS1573
- Practice address
- 53 Baxter Blvd
Portland, ME 04101-1827 - Phone
- (207) 774-8700
- NPI assigned
- Jul 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 05949 | MD | |
| Clinical Psychologist | 103TC0700X | PS1573 | ME | Primary |
Addresses
Primary practice location
53 Baxter Blvd
Portland, ME 04101-1827
Mailing address
53 Baxter Blvd Ste 3
Portland, ME 04101-1827
Phone (207) 774-8700
Other practice location 1
5850 Waterloo Rd Ste 230
Columbia, MD 21045-1943
Phone (667) 380-2854
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205210127 | Medicaid | MD | |
| 1205210127 | Medicaid | DE | |
| 1205210127 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arundel Mental Health Professionals L.C. | Clinical | Current | Accepting new patients |
Locations
5850 Waterloo Rd
Ste 230
Columbia, MD 21045
Phone (240) 687-7826
1662 Village Grn
#B
Crofton, MD 21114
Interoperability endpoints
- ccn.jamesmcelligott@140126.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Arnold, MD
- NPI 1073649521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1205210127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 BAXTER BLVD STE 3",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041011827",
"telephone_number": "207-774-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 BAXTER BLVD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041011827",
"telephone_number": "207-774-8700"
}
],
"practiceLocations": [
{
"address_1": "5850 Waterloo Rd Ste 230",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210451943",
"country_code": "US",
"telephone_number": "667-380-2854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCELLIGOTT",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-10",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05949",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PS1573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205210127",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205210127",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205210127",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.