Active NPI
True North Psychotherapy, LLC
- Clinical Social Worker
- Portland, ME
National Provider Identifier
1417452079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC14498
- Legal business name
- TRUE NORTH PSYCHOTHERAPY, LLC
- Practice address
- 1321 Washington Ave Ste 304
Portland, ME 04103-3675 - Phone
- (603) 361-5174
- Fax
- (207) 221-9986
- NPI assigned
- Mar 27, 2018
- Last updated
- Mar 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Harvell, LCSW
- Title
- Owner/Provider
- Phone
- (603) 361-5174
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC14498 | ME | Primary |
Addresses
Primary practice location
1321 Washington Ave Ste 304
Portland, ME 04103-3675
Mailing address
1321 Washington Ave Ste 304
Portland, ME 04103-3675
Phone (603) 361-5174
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Portland, ME
- NPI 1841569175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1417452079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 WASHINGTON AVE STE 304",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033675",
"telephone_number": "603-361-5174",
"fax_number": "207-221-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 WASHINGTON AVE STE 304",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041033675",
"telephone_number": "603-361-5174",
"fax_number": "207-221-9986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE NORTH PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A",
"authorized_official_last_name": "HARVELL",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "603-361-5174",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC14498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.