Organization Active NPI

Ocd, Anxiety, and Trauma Psychological Services, P.C.

  • Clinical Psychologist
  • Bangor, ME
National Provider Identifier
1306670203
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OCD, ANXIETY, AND TRAUMA PSYCHOLOGICAL SERVICES, P.C.
Practice address
69 Highland Ave
Bangor, ME 04401-4652
Phone
(949) 689-3229
NPI assigned
Sep 2, 2024
Last updated
Sep 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Dr. Noelle Deckman, PHDNPI 1457612574
Title
Licensed Clinical Psychologist
Phone
(949) 689-3229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

69 Highland Ave
Bangor, ME 04401-4652

Mailing address

1968 S Coast Hwy # 1171
Laguna Beach, CA 92651-3681

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1306670203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 1171",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 HIGHLAND AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014652",
            "telephone_number": "949-689-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCD, ANXIETY, AND TRAUMA PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A",
        "authorized_official_last_name": "DECKMAN",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-689-3229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.