Maria Rheaume, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021832-1 Issued in NY

Practice address

10 St Patrick PL
Port Henry, NY 12974-1200

Phone

(518) 546-7151

Fax

(518) 546-3785

NPI assigned

Dec 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Essex County Treasurer

  • Mental Health Counselor
  • Elizabethtown, NY
  • NPI 1659485480
  Medicare reassignment NPD
• Essex County Treasurer

  • Ambulance
  • Lewis, NY
  • NPI 1215552948
  NPD

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1366745556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320493",
            "telephone_number": "321-474-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ST PATRICK PL",
            "city": "PORT HENRY",
            "state": "NY",
            "postal_code": "129741200",
            "telephone_number": "518-546-7151",
            "fax_number": "518-546-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEAUME",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": "NA",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021832-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaylem Rosemarie Mullenax, LMSW
• Carolyn Murcray, CPHT
• Gail D. O'Connor, M.ED.
• Arleen Louise Phillips, MS EDUCATION
• Carol Mary Prevost
• Mary M Streibl, LPN
• Nathan Vassmer, OTA
• Vanessa Ann Welch, PTA

• Clinical Psychologist in Port Henry, NY
• Providers in Port Henry, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.