Organization Active NPI

Plymale Associates PA

  • Clinical Psychologist
  • Portland, ME
National Provider Identifier
1568934503
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PLYMALE ASSOCIATES PA
Practice address
449 Forest Ave Ste 213
Portland, ME 04101-2008
Phone
(207) 650-8677
NPI assigned
Dec 31, 2018
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Angela Griffiths
Title
Claims Manager
Phone
(207) 767-3696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

449 Forest Ave Ste 213
Portland, ME 04101-2008

Mailing address

121 Emery St
Portland, ME 04102-3731

Other practice location 1

121 Emery St
Portland, ME 04102-3731
Phone (207) 775-1091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190228001570 ME Part B Supplier - Clinic/Group Practice 3072852524 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, ME

National Provider Directory

National Provider Directory

Locations

222 Saint John St
Portland, ME 04102
Phone (207) 650-6450

449 Forest Ave
Ste 213
Portland, ME 04101
Phone (207) 650-8677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1568934503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EMERY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 FOREST AVE STE 213",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012008",
            "telephone_number": "207-650-8677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Emery St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023731",
            "country_code": "US",
            "telephone_number": "207-775-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLYMALE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CLAIMS MANAGER",
        "authorized_official_telephone_number": "207-767-3696"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.