Individual provider Active NPI

Silvio Saidemberg, M.D.

  • Psychiatry Physician
  • Bar Harbor, ME
National Provider Identifier
1326225459
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
017662 Issued in ME
Practice address
322 Main St
Bar Harbor, ME 04609-1648
Phone
(207) 288-8604
Fax
(207) 288-8602
NPI assigned
Jan 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 017662 ME Primary

Addresses

Primary practice location

322 Main St
Bar Harbor, ME 04609-1648

Mailing address

10 Wayman LN
Bar Harbor, ME 04609-1625
Phone (207) 288-8604

Other identifiers 1

IdentifierTypeStateIssuer
017662OtherMEME - LICENSE

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017662MEMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1326225459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WAYMAN LN",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091625",
            "telephone_number": "207-288-8604",
            "fax_number": "207-288-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091648",
            "telephone_number": "207-288-8604",
            "fax_number": "207-288-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIDEMBERG",
        "first_name": "SILVIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "017662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME - LICENSE",
            "identifier": "017662",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bar Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.