Jennifer Marie Batterman, PH.D.
Individual provider Active NPI Clinical Psychologist · Rockport, ME
NPI 1619968682 · NPPES record last updated Aug 19, 2021
Key facts
- NPI
- 1619968682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS1262 (ME)
- Practice address
- 825 Commercial St Unit 1
Rockport, ME 04856-4243 - Phone
- (207) 390-0533
- Fax
- (888) 920-6425
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
825 Commercial St
Rockport, ME 04856-4243
Phone (207) 390-0533
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100628000315 | ME | Practitioner - Clinical Psychologist | 1153450135 |
Reassigns benefits to 1 organization Practice locations: Rockport, ME |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012518-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Batterman, PHD LLC | Clinical Child & Adolescent | Current |
Accepting new patients |
| Coastal Maine Internal Medicine, PC | Current |
Accepting new patients | |
| Oakland Commons Family Practice | Past | Accepting new patients | |
| Marianne Bernadino MD LLC | Past |
Accepting new patients |
Locations
825 Commercial St
Unit 1
Rockport, ME 04856
Phone (207) 390-0533
Interoperability endpoints
- https://api.platform.athenahealth.com/8907/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012518-1 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 012518-1 | NY | |
| Clinical Psychologist | 103TC0700X | PS1262 | ME | Yes |
Addresses
Primary practice location
825 Commercial St Unit 1
Rockport, ME 04856-4243
Mailing address
825 Commercial St Unit 1
Rockport, ME 04856-4243
Phone (207) 390-0533
Other providers in Rockport, ME
- Rebecca Barlow
- Paul F. Barresi
- Jenny Lee Barrett-Hibl
- Bobbi Barrows
- Diane Jean Batley
- Whitney Leigh Baudanza-Sturks
- Richard P Beauchesne
- Susan Bell
- Abby Mae Bellmore
- Megan Marie Berman
All providers in Rockport, ME · Clinical Psychologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.