Psychiatric Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC390 Issued in ME

Legal business name

PSYCHIATRIC ASSOCIATES

Practice address

80 Exchange St
Suite 28
Portland, ME 04101-5035

Phone

(207) 772-7265

Fax

(207) 772-5602

NPI assigned

Jun 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Slavin, LCSW DCSW BCDNPI 1093910929

Title

Licensed Clinical Social Worker

Phone

(207) 772-7265

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah W Slavin, LCSW DCSW BCD

  • Clinical Social Worker
  • Portland, ME
  • NPI 1093910929
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245435171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EXCHANGE ST",
            "address_2": "SUITE 28",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015035",
            "telephone_number": "207-772-7265",
            "fax_number": "207-772-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EXCHANGE ST",
            "address_2": "SUITE 28",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015035",
            "telephone_number": "207-772-7265",
            "fax_number": "207-772-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLAVIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "207-772-7265",
        "authorized_official_credential": "LCSW DCSW BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promptcare Maine LLC
• Promptcare New England Respiratory
• Gilda J Pronych, DDS
• Georgana Prudhomme, LCSW
• Rodger M. Pryzant, M.D.
• Psychmaine LLC (PsychMaine)
• Psychodiagnostic Services of Southern Maine
• Paul Puchalski, LCSW
• Theresa Puckett
• Claire Zollman Puffer, PA-C

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.