Jeanne M Dorland, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1240 Issued in ME

Practice address

82 Columbia St
Suite301
Bangor, ME 04401-6357

Phone

(207) 942-8200

Fax

(207) 990-3065

NPI assigned

Jun 8, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1376584805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 COLUMBIA ST",
            "address_2": "SUITE301",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016357",
            "telephone_number": "207-942-8200",
            "fax_number": "207-990-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 COLUMBIA ST",
            "address_2": "SUITE301",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016357",
            "telephone_number": "207-942-8200",
            "fax_number": "207-990-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORLAND",
        "first_name": "JEANNE",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC2537",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431511499",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LEGACY NUMBER",
            "identifier": "098304",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire E Donovan, PT
• Kylie Brenna Nichole Donovan, LCPC-C
• Charlotte Elizabeth Doody, ACNP-CNP
• June Winifred Doody, LCPC
• Lauren McDowell Carlson Dooley, PA-C
• Deanna Lynn Dorsey, MD
• Joanna Gail Dotts, D.O.
• Bernd Dotzauer, MD
• James Michael Doucette, DPT
• Marie Doucette, R.D.H.

• Clinical Psychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.