Active NPI
Pia Michelle Stanard Marancik, PH.D.
- Psychologist
- Chelsea, ME
National Provider Identifier
1386978849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS1389
- Practice address
- 31 Spurwink Dr
Chelsea, ME 04330-1166 - Phone
- (207) 582-7686
- NPI assigned
- Sep 30, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | 04887 | MD | |
| Professional Counselor | 101YP2500X | XL3856 | ME | |
| Psychologist | 103T00000X | PS1389 | ME | Primary |
Addresses
Primary practice location
31 Spurwink Dr
Chelsea, ME 04330-1166
Mailing address
899 Riverside Street
Portland, ME 04103
Phone (207) 871-1200
Other names 1
- Miss Pia Michelle Stanard
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL3856 | ME | MD | Professional Counselor |
| 04887 | MD | MD | Psychologist |
| PS1389 | ME | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Past | Accepting new patients | |
| Spurwink Services | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Portland, ME
- NPI 1982930657
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1316945090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1386978849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 RIVERSIDE STREET",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-871-1200",
"fax_number": "207-871-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SPURWINK DR",
"city": "CHELSEA",
"state": "ME",
"postal_code": "043301166",
"telephone_number": "207-582-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANARD MARANCIK",
"first_name": "PIA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04887",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL3856",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS1389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PIA",
"last_name": "STANARD",
"middle_name": "MICHELLE",
"prefix": "MISS",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chelsea, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.