Gregory W. Nevens, Ed.D PA

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

00617 Issued in ME

Legal business name

GREGORY W. NEVENS, ED.D PA

Doing business as

Health Psychology Center

Practice address

222 Auburn St
Suite 102
Portland, ME 04103-6002

Phone

(207) 653-4301

Fax

(207) 699-3831

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Gregory W Nevens, ED.D.,

Title

President

Phone

(207) 653-4301

Specialties & licenses 1

Addresses

Other names 1

• Health Psychology Center Doing business as

Locations

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1497904569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "city": "ALFRED",
            "state": "ME",
            "postal_code": "040020854",
            "telephone_number": "207-415-1881",
            "fax_number": "207-699-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST",
            "address_2": "SUITE 102",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036002",
            "telephone_number": "207-653-4301",
            "fax_number": "207-699-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W. NEVENS, ED.D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "NEVENS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-653-4301",
        "authorized_official_credential": "ED.D.,"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": "ME",
            "license": "00617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Psychology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audria Greenwald, MD
• Julia Fasse Greenwald, MD
• Donna Lynne Greenwood, MD
• Gregory J Fisher DDS PA
• Gregory V Sarka, DDS, MD, LLC
• Jillian Gregory, DO
• Jenner Elizabeth Greil, ARNP
• Elizabeth Salko Grenier, RN, CRNA
• Holly Grgas, LCSW, PMH-C
• Ann-Marie Gribbin-Bouchard, ATC, PTA

• Health Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Health Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.