Richard Devillers Seymour, ED. D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS827 Issued in ME

Practice address

132 Pleasant St
Portland, ME 04101-3809

Phone

(207) 841-9418

Fax

(207) 798-3929

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376684787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PLEASANT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013809",
            "telephone_number": "207-841-9418",
            "fax_number": "207-798-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PLEASANT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013809",
            "telephone_number": "207-841-9418",
            "fax_number": "207-798-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "RICHARD",
        "middle_name": "DEVILLERS",
        "credential": "ED. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "017233",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Serrano, M.D.
• Services Aid Home Care LLC
• Seventy Five State Street
• Theresa Seward, MS, LCPC
• Bronwyn Elizabeth Sewell, NP
• SGR, Inc.
• Kassandra M Shackley
• Robyn Shafer, RDH
• Allison E. Shaffer
• Azhar Shah, DO

• Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.