Outdoor Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OUTDOOR PSYCHOLOGY, LLC

Practice address

205 Ocean Avenue
Portland, ME 04103

Phone

(207) 808-0428

Fax

(207) 773-5512

NPI assigned

Apr 11, 2019

Organization subpart

No

Name

Dr. Annmarie Mica Lageroos, PSYDNPI 1932427721

Title

Owner

Phone

(207) 808-0428

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annmarie Mica Lageroos, PSYD

  • Clinical Psychologist
  • Portland, ME
  • NPI 1932427721
  NPD (past) Authorized official CLINICAL

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2019.

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1326501701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GORHAM RD P.O. BOX 181",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04070",
            "telephone_number": "207-808-0428",
            "fax_number": "207-773-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OCEAN AVENUE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-808-0428",
            "fax_number": "207-773-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTDOOR PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "LAGEROOS",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_middle_name": "MICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-808-0428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Ouellette
• Kayla B Ouellette, LCSW
• Lowella Ouellette, MSOTR/L
• Paul P Ouellette, LCSW
• Debra A Ouimette, PHD, LADC, CASAC,SAP
• Outfront JB Family Residential Care LLC
• Elise Overcash, MA, LMFT
• Overwatch Laboratories
• Christina M. Owens, NP
• Laura Owens, MT

• All providers in Portland, ME
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.