Individual provider Active NPI

Harold Longenecker, PHD

  • Psychologist
  • Auburn, ME
National Provider Identifier
1639313109
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS1124 Issued in ME
Practice address
415 Rodman Rd
Auburn, ME 04210-3942
Phone
(207) 376-3022
Fax
(207) 333-3501
NPI assigned
Apr 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS1124 ME Primary

Addresses

Primary practice location

415 Rodman Rd
Auburn, ME 04210-3942

Mailing address

800 Center St
Auburn, ME 04210-6404
Phone (207) 782-2726

Other identifiers 1

IdentifierTypeStateIssuer
431875799MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000460 ME Practitioner - Clinical Psychologist 9234312687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Lindblom LCSW LLC CurrentSince Sep 17, 2023 Accepting new patients
John F Murphy Homes, Inc. Past Accepting new patients

Locations

8 Cumberland St
Brunswick, ME 04011
Phone (207) 218-0060

Organizations & group practices 3

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": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1639313109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106404",
            "telephone_number": "207-782-2726",
            "fax_number": "207-333-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 RODMAN RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103942",
            "telephone_number": "207-376-3022",
            "fax_number": "207-333-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGENECKER",
        "first_name": "HAROLD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431875799",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.