Organization Active NPI

Anxiety Solutions of Northern New England, PLLC

  • Clinical Psychologist
  • Lincoln, ME
National Provider Identifier
1366513897
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ANXIETY SOLUTIONS OF NORTHERN NEW ENGLAND, PLLC
Practice address
186 Twin Spring Lane
Lincoln, ME 04457
Phone
(207) 655-2737
Fax
(207) 655-1065
NPI assigned
Nov 13, 2006
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Dr. Gordon Powell Street, PHDNPI 1184699910
Title
Co-Owner and Business Manager
Phone
(207) 655-2737

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 NU Primary

Addresses

Primary practice location

186 Twin Spring Lane
Lincoln, ME 04457

Mailing address

PO Box 70
Raymond, ME 04071-0070
Phone (207) 655-2737

National Provider Directory

National Provider Directory

Locations

104 Webbs Mills Rd
Raymond, ME 04071

Practitioners & affiliated clinicians

Practitioners 2

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1366513897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040710070",
            "telephone_number": "207-655-2737",
            "fax_number": "207-655-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 TWIN SPRING LANE",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "04457",
            "telephone_number": "207-655-2737",
            "fax_number": "207-655-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIETY SOLUTIONS OF NORTHERN NEW ENGLAND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "POWELL",
        "authorized_official_title_or_position": "CO-OWNER AND BUSINESS MANAGER",
        "authorized_official_telephone_number": "207-655-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.