Active NPI
Melanie Anastasia Mace, PSY.D.
- Clinical Psychologist
- Marshfield, ME
National Provider Identifier
1386966158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS1319
- Practice address
- 14 Steve's Lane
Marshfield, ME 04654 - Phone
- (207) 255-0996
- NPI assigned
- Feb 22, 2010
- Last updated
- Feb 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS1319 | ME | Primary |
Addresses
Primary practice location
14 Steve's Lane
Marshfield, ME 04654
Mailing address
43 Hatch Drive
PO Box 1018
Caribou, ME 04736-5439
Phone (207) 498-6431
Other practice location 1
127 Palmer St
Calais, ME 04619-1300
Phone (207) 454-0775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386966158 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Psychotherapy Associates, PA | Clinical | Past | Accepting new patients |
| Caribou Eyecare, P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Caribou, ME
- NPI 1356470645
-
- Clinical Psychologist
- Calais, ME
- NPI 1295865921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1386966158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 HATCH DRIVE",
"address_2": "PO BOX 1018",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047365439",
"telephone_number": "207-498-6431",
"fax_number": "207-492-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 STEVE'S LANE",
"city": "MARSHFIELD",
"state": "ME",
"postal_code": "04654",
"telephone_number": "207-255-0996"
}
],
"practiceLocations": [
{
"address_1": "127 Palmer St",
"address_purpose": "LOCATION",
"city": "Calais",
"state": "ME",
"postal_code": "046191300",
"country_code": "US",
"telephone_number": "207-454-0775",
"fax_number": "207-454-0232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACE",
"first_name": "MELANIE",
"middle_name": "ANASTASIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PS1319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386966158",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.