NPIMap

Organization Active NPI

Blue Hill Psychological Services Inc

  • Clinical Psychologist
  • Blue Hill, ME
National Provider Identifier
1578613816
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS758 Issued in ME
Legal business name
BLUE HILL PSYCHOLOGICAL SERVICES INC
Practice address
65 Union St.
Blue Hill, ME 04416
Phone
(207) 374-5811
Fax
(866) 620-9643
NPI assigned
Jan 11, 2007
Last updated
Dec 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Dr. Lorraine H. Huckel, PH.D.NPI 1548444714
Title
Owner
Phone
(207) 374-5811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS758 ME Primary

Addresses

Primary practice location

65 Union St.
Blue Hill, ME 04416

Mailing address

PO Box 161
Blue Hill, ME 04614-0161
Phone (207) 374-5811

Other identifiers 1

IdentifierTypeStateIssuer
12706000MedicaidME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1578613816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046140161",
            "telephone_number": "207-374-5811",
            "fax_number": "866-620-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 UNION ST.",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "04416",
            "telephone_number": "207-374-5811",
            "fax_number": "866-620-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILL PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "HUCKEL",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-374-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12706000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Hill, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.