Active NPI
Howard L Pruzansky, LCPC
- Counselor
- Bath, ME
National Provider Identifier
1467568592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CC971
- Practice address
- 1 Lincoln St
Ste #1
Bath, ME 04530 - Phone
- (207) 443-2026
- Fax
- (207) 443-2021
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CC971 | ME | Primary |
Addresses
Primary practice location
1 Lincoln St
Ste #1
Bath, ME 04530
Mailing address
PO Box 27
Phippsburg, ME 04562
Phone (207) 389-2256
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC971 | ME | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1467568592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27",
"city": "PHIPPSBURG",
"state": "ME",
"postal_code": "04562",
"telephone_number": "207-389-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LINCOLN ST",
"address_2": "STE #1",
"city": "BATH",
"state": "ME",
"postal_code": "04530",
"telephone_number": "207-443-2026",
"fax_number": "207-443-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUZANSKY",
"first_name": "HOWARD",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "CC971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.