Andrew David Kreitzer, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS994 Issued in ME

Practice address

42 Cedar St
Bangor, ME 04401-6433

Phone

(207) 947-0366

Fax

(207) 990-3927

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Access Network IncGroup PAC ID 2769393180, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBFIBD

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.

• Health Access Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
  • NPI 1467468215
  Medicare reassignment Care Compare group NPD
• Health Access Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
  • NPI 1295993616
  NPD
• Health Access Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lee, ME
  • NPI 1568701324
  NPD

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497963870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 WOODFIELD WAY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053190",
            "telephone_number": "207-667-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CEDAR ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016433",
            "telephone_number": "207-947-0366",
            "fax_number": "207-990-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREITZER",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya Jenn Kozusko, MS, FNP-C
• Steven D Kozusko, MD, MED
• Gregory Paul Kramer, D.M.D.
• Joanna Catherine Krasinski, MSN, APRN, BC, COHNS
• Donald W Krause, MD
• Kris Sornberger Osteopathic Healthcare
• Fredric A Kristal, PHD
• Agnieszka Karolina Serwik Kronholm, PH.D.
• Victoria Amanda Kugel, LCPC
• Jennie Kuhn, LCPC-C

• Psychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.