Individual provider Active NPI

Maureen D. Sanford, PSYD

  • Psychologist
  • Saco, ME
National Provider Identifier
1467909168
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS1465 Issued in ME
Practice address
120 Main St Ste 126
Saco, ME 04072-3527
Phone
(207) 352-5011
Fax
(207) 352-5013
NPI assigned
Sep 10, 2016
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS1465 ME
Psychologist 103T00000X PS1465 ME Primary

Addresses

Primary practice location

120 Main St Ste 126
Saco, ME 04072-3527

Mailing address

701 US Route 1 Ste 2a
Yarmouth, ME 04096-7006
Phone (207) 352-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161024001596 ME Practitioner - Clinical Psychologist 7719265974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 US Route 1
Suite 2a
Yarmouth, ME 04096-7006
Phone (207) 352-5011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS1465MEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroconnections, LLC Clinical Neuropsychologist CurrentSince Nov 13, 2017 Accepting new patients

Locations

701 US Route 1
Ste 2A
Yarmouth, ME 04096
Phone (207) 352-5011

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1467909168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 US ROUTE 1 STE 2A",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040967006",
            "telephone_number": "207-352-5011",
            "fax_number": "207-352-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST STE 126",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723527",
            "telephone_number": "207-352-5011",
            "fax_number": "207-352-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "MAUREEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-10",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ME",
            "license": "PS1465",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.