David Lobozzo, MD, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

013263 Issued in ME

Legal business name

DAVID LOBOZZO, MD, PA

Practice address

477 Congress St Ste 420
Portland, ME 04101-3431

Phone

(207) 773-1290

NPI assigned

May 8, 2009

Organization subpart

No

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

Authorized official

Name

David Lobozzo, MD

Title

President

Phone

(207) 773-1290

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1255565016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 CONGRESS ST STE 420",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013431",
            "telephone_number": "207-773-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 CONGRESS ST STE 420",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013431",
            "telephone_number": "207-773-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LOBOZZO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "LOBOZZO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-773-1290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "013263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellsey Rae Davenport, PT, DPT
• Pamela R Davenport, SOCIAL WORKER
• Kathleen Mara Davey, M.D.
• David a Vaughan DDS PA
• David D Keller DO PC
• David Margolis PH.D. P.a.
• David R Kerr
• David Thomson MD Facs
• Deborah Leah Davidson, M.SC, CCC-SLP
• Emily Davidson

• Psychiatry Physician in Portland, ME
• Providers in Portland, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.