Suzanne Botana, PH.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

18 Maplewood Ave
Biddeford, ME 04005-2110

Phone

(207) 282-8280

NPI assigned

Jun 10, 2021

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Maine Administrative Collaborative

  • Early Intervention Provider Agency
  • Biddeford, ME
  • NPI 1962981373
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1295302818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BROOKSIDE LN",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034607",
            "telephone_number": "219-873-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAPLEWOOD AVE",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052110",
            "telephone_number": "207-282-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTANA",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sites.google.com/smacschoolsme",
            "affiliation": "N",
            "address_1": "18 Maplewood Ave",
            "city": "Biddeford",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040052110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suzanne Bagin Bohlmann, PA-C
• Louise I. Boisvert, LMSW-CC
• Robert J Bolduc Jr., O.D.
• Rebecca J Booth, NP
• Margaret A Bordeau, D.O.
• Lisa Bouchard, LMT, LAC
• Kristina Boucher, NBHWC, FMCA
• Zach Boulay
• David J. Bourne, MD
• Lauren Nicole Boutet, OD

• School Psychologist in Biddeford, ME
• Providers in Biddeford, ME by specialty
• School Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.