Reinsophy LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD13127 Issued in ME

Legal business name

REINSOPHY LLC

Doing business as

Benjamin Crocker MD

Practice address

208 Vaughan St
Portland, ME 04102-3204

Phone

(207) 400-6197

Fax

(888) 232-0290

NPI assigned

Feb 5, 2016

Organization subpart

No

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

Authorized official

Name

Benjamin Crocker, MDNPI 1841297009

Title

Owner

Phone

(207) 450-8627

Specialties & licenses 1

Addresses

Other names 1

• Benjamin Crocker MD Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Crocker, MD

  • Psychiatry Physician
  • Portland, ME
  • NPI 1841297009
  Medicare reassignment NPD Authorized official
• Scott J Davidson, EDD

  • Psychologist
  • Brunswick, ME
  • NPI 1457386823
  NPD

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740268800000",
    "number": "1417315482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CARROLL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023501",
            "telephone_number": "207-400-6197",
            "fax_number": "888-290-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 VAUGHAN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023204",
            "telephone_number": "207-400-6197",
            "fax_number": "888-232-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINSOPHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-450-8627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD13127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin Crocker MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casie Jo Reilly, APRN
• Drew S. Reilly
• Penelope Reilly, MSN CS
• Samantha R. Reilly, NP
• Allyson Lauren Reinert
• Kim M Reiser, CRNA
• Reliable Care LLC
• Reliable Home Support, LLC
• Reliance Resources and Services
• Mary Bartlett Remington, REGISTERED DENTAL HY

• Psychiatry Physician in Portland, ME
• Providers in Portland, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.