Rita L Siavelis, LMFT
Individual provider Active NPI Marriage & Family Therapist · Portland, ME
NPI 1346479698 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1346479698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MF2139 (ME)
- Practice address
- 251 Woodford St
Portland, ME 04103-5617 - Phone
- (207) 272-5520
- Fax
- (207) 761-8150
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
251 Woodford St
Portland, ME 04103-5617
Phone (207) 773-2828
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240613000314 | ME | Practitioner - Marriage and Family Therapist | 3072055433 | Practice locations: Portland, ME |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF2139 | ME | Yes |
Addresses
Primary practice location
251 Woodford St
Portland, ME 04103-5617
Mailing address
251 Woodford St
Portland, ME 04103-5617
Phone (207) 272-5520
Other providers in Portland, ME
- Jonathan D Shumeyko
- Lauren Shumeyko
- Jennifer D Shumway
- Andrew L Shur
- Eric Matthew Shurtleff
- John Robert Sibilia
- Michele Catherine Siciliano
- Miriam Siddique
- Jeri Krogh Sides
- Emily Tarbet Siegel
All providers in Portland, ME · Marriage & Family Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.