Somerset Psychological Services PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS685 Issued in ME

Legal business name

SOMERSET PSYCHOLOGICAL SERVICES PA

Practice address

7 Leavitt St
Skowhegan, ME 04976

Phone

(207) 474-7190

Fax

(207) 474-7117

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Timothy C McFadden, PH.D.

Title

Psychologist

Phone

(207) 474-7190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1497981450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LEAVITT ST",
            "address_2": "PO BOX 928",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LEAVITT ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "04976",
            "telephone_number": "207-474-7190",
            "fax_number": "207-474-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET PSYCHOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "207-474-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skowhegan SNF Operations, LLC
• Judith L Slattery, LSW, CADC
• Andrea Lynn Smith, LSW
• Benjamin Emory Smith, LCSW
• Elijah Soll, MS BCBA CEO
• Andra Spearrin
• Shelly F Spooner, STA
• Daniel Stevenson Stadler, MD
• Anna G Staehli Wiser, PT
• Bryan Stanley, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.