Individual provider Active NPI

Michael William Curless, PH.D.

  • Clinical Psychologist
  • Ellsworth, ME
National Provider Identifier
1245395532
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS1055 Issued in ME
Practice address
24 Birch Ave Ste a
Ellsworth, ME 04605-1804
Phone
(207) 667-3485
Fax
(207) 412-0043
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS1055 ME Primary

Addresses

Primary practice location

24 Birch Ave Ste a
Ellsworth, ME 04605-1804

Mailing address

PO Box 420
Mount Desert, ME 04660-0420
Phone (207) 667-3485

Other identifiers 2

IdentifierTypeStateIssuer
044921OtherMEANTHEM
338030099MedicaidME

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
I20070113000062 ME Practitioner - Clinical Psychologist 3678573714 Practice locations: Ellsworth, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Birch Ave
Suite a
Ellsworth, ME 04605-1804
Phone (207) 667-3485

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS1055MEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Curless Psychology of Maine PC Clinical PastSince Aug 11, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1245395532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "MOUNT DESERT",
            "state": "ME",
            "postal_code": "046600420",
            "telephone_number": "207-667-3485",
            "fax_number": "207-412-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BIRCH AVE STE A",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051804",
            "telephone_number": "207-667-3485",
            "fax_number": "207-412-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURLESS",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "044921",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338030099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.