Patronus LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

PATRONUS LLC

Practice address

701 US Route 1 Ste 2a
Yarmouth, ME 04096-7006

Phone

(207) 352-5011

Fax

(207) 352-5013

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Maureen D Sanford, PSYD

Title

Owner

Phone

(207) 352-5011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1619682366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 US ROUTE 1 STE 2A",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040967006",
            "telephone_number": "207-352-5011",
            "fax_number": "207-352-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 US ROUTE 1 STE 2A",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040967006",
            "telephone_number": "207-352-5011",
            "fax_number": "207-352-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRONUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-352-5011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathi J Paradise, M.S.,OTR/L
• Heather Danielle Parlin, LCPC
• Pat Chanterelle LLC
• Jeffrey S. Patch, MD
• Patricia J. Phillips, DO, PA
• Kevin Paulin
• Peaceful Me, PLLC
• Kaitlyn Pelletier, LMT
• Susan Michelle Penza-Clyve, PH.D.
• Cindy Mitchell Perkins, L.C.P.C.

• Clinical Neuropsychologist in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Clinical Neuropsychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.