Active NPI
Ann M Christie PC
- Clinical Psychologist
- Portland, ME
National Provider Identifier
1639397664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS1197
- Legal business name
- ANN M CHRISTIE PC
- Practice address
- 57 Exchange St
Suite 403
Portland, ME 04101-5000 - Phone
- (207) 774-6300
- Fax
- (207) 775-4454
- NPI assigned
- Apr 23, 2007
- Last updated
- Jun 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Christie, PSYD
- Title
- President Owner
- Phone
- (207) 774-6300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY002054 | GA | |
| Clinical Psychologist | 103TC0700X | PY 5524 | FL | |
| Clinical Psychologist | 103TC0700X | PS1197 | ME | Primary |
Addresses
Primary practice location
57 Exchange St
Suite 403
Portland, ME 04101-5000
Mailing address
57 Exchange St
Suite 403
Portland, ME 04101-5000
Phone (207) 774-6300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432779400 | Medicaid | ME | |
| 200300 | Other | ME | ANTHEM BC/BS |
| 461740 | Other | GA | VALUE OPTIONS |
| 10751280 | Other | ME | CAQH |
| 000741584A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
57 Exchange St
Ste 403
Portland, ME 04101
Phone (207) 775-0382
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Portland, ME
- NPI 1568686541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1639397664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 EXCHANGE ST",
"address_2": "SUITE 403",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041015000",
"telephone_number": "207-774-6300",
"fax_number": "207-775-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 EXCHANGE ST",
"address_2": "SUITE 403",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041015000",
"telephone_number": "207-774-6300",
"fax_number": "207-775-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANN M CHRISTIE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "CHRISTIE",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "207-774-6300",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002054",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 5524",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PS1197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432779400",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "200300",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "461740",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10751280",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000741584A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.