Andrew Jonathan Cole, PSY.D.
Individual provider Active NPI Psychologist · Madawaska, ME
NPI 1497986061 · NPPES record last updated Oct 21, 2011
Key facts
- NPI
- 1497986061
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS1339 (ME)
- Practice address
- 88 Fox St
Suite101
Madawaska, ME 04756-1352 - Phone
- (207) 728-6341
- Fax
- (207) 728-7762
- NPI assigned
- Jul 30, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018192 | NY | MD | Human Factors Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brad Bennett Psychology PC | Past |
Accepting new patients | |
| Lora a. Abraham, LCSW, P.C. | Past |
Accepting new patients | |
| Aroostook Mental Health Services, Inc. | Psychologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS1339 | ME | Yes |
| Psychologist | 103T00000X | 018192 | NY |
Addresses
Primary practice location
88 Fox St
Suite101
Madawaska, ME 04756-1352
Mailing address
88 Fox St
Suite101
Madawaska, ME 04756-1352
Phone (207) 728-6341
Other providers in Madawaska, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.