Individual provider Active NPI

Frances Ann Rodenburg, PH.D., LADC

  • Psychologist
  • Westbrook, ME
National Provider Identifier
1376165274
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS1608 Issued in ME
Practice address
14 Kelley Way
Westbrook, ME 04092-2762
Phone
(707) 225-5773
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC6785 ME
Psychologist 103T00000X PS1608 ME Primary

Addresses

Primary practice location

14 Kelley Way
Westbrook, ME 04092-2762

Mailing address

585 Forest Ave
Portland, ME 04101-1519
Phone (207) 239-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20210802003217 ME Practitioner - Clinical Psychologist 9436553203 Reassigns benefits to 1 organization
Practice locations: Portland, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

585 Forest Ave
Portland, ME 04101-1519
Phone (207) 239-2356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LC6785MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fran Rodenburg, PH.D., Ladc,LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

585 Forest Ave
Portland, ME 04101
Phone (207) 239-2356

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1376165274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011519",
            "telephone_number": "207-239-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 KELLEY WAY",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922762",
            "telephone_number": "707-225-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODENBURG",
        "first_name": "FRANCES",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC6785",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.