Active NPI
Mary E. Plouffe, PH.D.
- Clinical Psychologist
- So Freeport, ME
National Provider Identifier
1447587597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 433
- Practice address
- 33 Spar Cove Road
So Freeport, ME 04078-0424 - Phone
- (207) 865-9607
- Fax
- (207) 865-9607
- NPI assigned
- Nov 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 433 | ME | Primary |
| Counseling Psychologist | 103TC1900X | 433 | ME |
Addresses
Primary practice location
33 Spar Cove Road
So Freeport, ME 04078-0424
Mailing address
PO Box 424
South Freeport, ME 04078-0424
Phone (207) 865-9607
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 433 | ME | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1447587597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "SOUTH FREEPORT",
"state": "ME",
"postal_code": "040780424",
"telephone_number": "207-865-9607",
"fax_number": "207-865-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 SPAR COVE ROAD",
"city": "SO FREEPORT",
"state": "ME",
"postal_code": "040780424",
"telephone_number": "207-865-9607",
"fax_number": "207-865-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOUFFE",
"first_name": "MARY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "433",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "ME",
"license": "433",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in So Freeport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.