Barda L. Leavitt, PH.D.
Individual provider Active NPI Clinical Psychologist · Hallowell, ME
NPI 1487732889 · NPPES record last updated Dec 23, 2021
Key facts
- NPI
- 1487732889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS373 (ME)
- Practice address
- 2 Beech Street
Unit 1a
Hallowell, ME 04347-1520 - Phone
- (207) 622-3559
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Beech St
Unit 1a
Hallowell, ME 04347-1520
Phone (207) 622-3559
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060328000234 | ME | Practitioner - Clinical Psychologist | 8426066770 | Practice locations: Hallowell, ME |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barda Leavitt PH.D. PLLC | Current |
Accepting new patients | |
| The Brain Clinic of Central Maine, LLC | Past | Accepting new patients |
Locations
2 Beech St
Unit 1A
Hallowell, ME 04347
Phone (207) 622-3559
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS373 | ME | Yes |
Addresses
Primary practice location
2 Beech Street
Unit 1a
Hallowell, ME 04347-1520
Mailing address
93 Second St
Hallowell, ME 04347-1450
Phone (207) 622-3559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197300000 | Medicaid | ME | |
| 005900 | Other | ANTHEM BLUE CROSS | |
| 147311000 | Other | MAGELLAN BEHAVIORAL HEALT | |
| MNT793 | Other | HARVARD PILGRIM | |
| 1036493 | Other | CIGNA |
Other providers in Hallowell, ME
- Jeanette C Jones
- Makayla Kamm
- Kenneth F. Nuzzo, O.D., P.a.
- Russell Albert Klobas
- Patricia Lacey
- Roxanne Leet
- Kelly Lemelin
- Julie Libby
- Lynn Murphy, LCSW Counseling Services, LLC
- Todd C Macfarlane
All providers in Hallowell, ME · Clinical Psychologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.