Lenore Marie Tipping, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS957 Issued in ME

Practice address

15 Columbia St
Suite 402
Bangor, ME 04401-6355

Phone

(207) 942-2151

Fax

(207) 942-2151

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 20, 2020 through Mar 20, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639240591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KELL ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734240",
            "telephone_number": "207-866-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COLUMBIA ST",
            "address_2": "SUITE 402",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016355",
            "telephone_number": "207-942-2151",
            "fax_number": "207-942-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPING",
        "first_name": "LENORE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "027482",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2599104",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Henderson Tibbetts, MD
• Tidal Falls Counseling, LLC
• Gale C Tinker, PA
• Rudolph N Tiongko, MD
• Brianna Tipping, CADC
• John Tivnan, D.O.
• Gaston To'Olo, D.M.D.
• Ivy A G Todd, PNPC
• Katie Lynn Todd
• Meredith L Todd, MD

• Psychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.