Individual provider Active NPI

Debra A Hannigan Anctil, MS

  • School Psychologist
  • Lewiston, ME
National Provider Identifier
1598482382
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PE886 Issued in ME
Practice address
36 Oak St
Lewiston, ME 04240-7190
Phone
(207) 795-4100
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X PE886 ME Primary

Addresses

Primary practice location

36 Oak St
Lewiston, ME 04240-7190

Mailing address

53 Cross Rd
Minot, ME 04258-4406
Phone (207) 650-1934

Other practice location 1

53 Cross Rd
Minot, ME 04258-4406
Phone (207) 650-1934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PE886MEMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Lewiston School Department PastSince Oct 30, 2022 Accepting new patients
Lewiston School Department PastSince Oct 30, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1598482382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CROSS RD",
            "city": "MINOT",
            "state": "ME",
            "postal_code": "042584406",
            "telephone_number": "207-650-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 OAK ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407190",
            "telephone_number": "207-795-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Cross Rd",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ME",
            "postal_code": "042584406",
            "country_code": "US",
            "telephone_number": "207-650-1934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNIGAN ANCTIL",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "ME",
            "license": "PE886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.