Active NPI
Louise A. Zubrod, ED.D. MAINE PSYCHOLO
- Clinical Psychologist
- South Portland, ME
National Provider Identifier
1467588608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 506
- Practice address
- 345 Cottage Rd
South Portland, ME 04106 - Phone
- (207) 774-5741
- Fax
- (207) 772-4322
- NPI assigned
- Feb 24, 2007
- 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 | PS506 | ME | |
| Clinical Psychologist | 103TC0700X | 506 | ME | Primary |
Addresses
Primary practice location
345 Cottage Rd
South Portland, ME 04106
Mailing address
276 Pine St
South Portland, ME 04106-3841
Phone (207) 774-5741
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270680099 | Medicaid | ME | |
| 117140000 | Medicaid | ME | |
| 026804 | Other | ME | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 506 | ME | MD | Clinical Psychologist |
| PS506 | ME | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates for Psychotherapy | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Portland, ME
- NPI 1093841231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1467588608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 PINE ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063841",
"telephone_number": "207-774-5741",
"fax_number": "207-772-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 COTTAGE RD",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "04106",
"telephone_number": "207-774-5741",
"fax_number": "207-772-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUBROD",
"first_name": "LOUISE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "ED.D. MAINE PSYCHOLO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PS506",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270680099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117140000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "026804",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.