Individual provider Active NPI

Tatiana W Gregor, ED.D

  • Clinical Psychologist
  • Augusta, ME
National Provider Identifier
1295705671
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS 1108 Issued in ME
Practice address
250 Arsenal St
11 SHS
Augusta, ME 04333-0001
Phone
(207) 624-3982
Fax
(207) 287-6123
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PS 1108 ME Primary

Addresses

Primary practice location

250 Arsenal St
11 SHS
Augusta, ME 04333-0001

Mailing address

47 Green St
Augusta, ME 04330-7401
Phone (207) 621-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS 1108MEMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295705671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GREEN ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307401",
            "telephone_number": "207-621-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ARSENAL ST",
            "address_2": "11 SHS",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043330001",
            "telephone_number": "207-624-3982",
            "fax_number": "207-287-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOR",
        "first_name": "TATIANA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS 1108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.