David C Bellows, PHD

Key facts

NPI

1316972797

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

PS435 (ME)

Practice address

240 Maine St
Brunswick, ME 04011-3365

Phone

(207) 729-0857

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2015.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1316972797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SUMAC DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113454",
            "telephone_number": "207-729-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MAINE ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113365",
            "telephone_number": "207-729-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOWS",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM STAR #",
            "identifier": "003543",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231270000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5005256",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

• Jordan Belanger, DPT
• Steven Armand Belanger, PHD, CCC-SLP
• Julie Michelle Bell, M.S. CCC-SLP
• Michael A Bell, M.D.
• Rebecca Kruger Bell, MD
• David Christopher Bellville, PH.D.
• Robin Beltramini, FNP
• Christine Bender, D.O.
• Lyn A Benton, O.D.
• Hillary Jackson Benuck, DPT

All providers in Brunswick, ME · Clinical Psychologist in Maine