Bayside Psychology and Consulting, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BAYSIDE PSYCHOLOGY AND CONSULTING, LLC

Practice address

1 Union St Ste 402
Portland, ME 04101-4048

Phone

(207) 464-4080

Fax

(207) 850-2116

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Marshall J Robinson, PHD

Title

Owner

Phone

(207) 464-4080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenelle Christine Fitch, PH.D.

  • Counseling Psychologist
  • Saint Clairsville, OH
  • NPI 1871939306

  ME

  Medicare reassignment Care Compare group NPD
• Susan Elisabeth Palmgren, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1912063785

  ME

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1639637432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNION ST STE 402",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014048",
            "telephone_number": "207-464-4080",
            "fax_number": "207-850-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNION ST STE 402",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014048",
            "telephone_number": "207-464-4080",
            "fax_number": "207-850-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE PSYCHOLOGY AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-464-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Wellness Family Chiropractic LLC.
• Christian Bayingana, MD
• Bayside Care LLC
• Bayside Employee Health Center
• Bayside Neurorehabilitation Services
• Allison L. Baysol, PA-C
• Bayview Care Agency LLC
• Richard A Bazarian, MD
• Alexandra Bazinet, RDH
• Katherine Margaret Beach, M.A. CF-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.