Mary Anne Nicole Roy, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1269 Issued in ME

Practice address

66 Pearl St Ste 326
Portland, ME 04101-4167

Phone

(207) 773-9931

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northeast Occupational Exchange, Inc

  • Psychologist
  • Bangor, ME
  • NPI 1427002138
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1225156813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PEARL ST STE 326",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014167",
            "telephone_number": "207-773-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PEARL ST STE 326",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014167",
            "telephone_number": "207-773-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "MARY ANNE",
        "middle_name": "NICOLE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432502899",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LEGACY NUMBER",
            "identifier": "098304",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Kate Rowlett, CRNA
• Eliza Jane Roy-Webb, CRNA
• Alyson Renee Roy, MS OTR/L
• Jennifer Lynne Roy
• Joanne T Roy, LCSW LADC
• Michael Roy, M.D.
• Michelle Roy, PA-C
• Rebecca A Roy, C.R.N.A.
• Stephen Gerard Roy, LCSW
• Travis Roy, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.