Alyssa Anne Hamilton, PSY.D.
Individual provider Active NPI Clinical Psychologist · Livemore Falls, ME
NPI 1659139293 · NPPES record last updated Mar 8, 2024
Key facts
- NPI
- 1659139293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS2563 (ME)
- Practice address
- 21 Main Street
Androscoggin Valley Medical Arts Center
Livemore Falls, ME 04254 - Phone
- (207) 897-6601
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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 |
|---|---|---|---|---|
| I20241017000166 | ME | Practitioner - Clinical Psychologist | 2668904582 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS2563 | ME | Yes |
Addresses
Primary practice location
21 Main Street
Androscoggin Valley Medical Arts Center
Livemore Falls, ME 04254
Mailing address
9A River St Apt B24
Newmarket, NH 03857-1179
Phone (207) 615-9283
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.