Active NPI
Mark Rains, PHD
- Psychologist
- West Farmington, ME
National Provider Identifier
1659565968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS959
- Practice address
- 135 Bridge Street
West Farmington, ME 04992-0302 - Phone
- (207) 778-5437
- NPI assigned
- Aug 29, 2007
- Last updated
- Aug 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS959 | ME | Primary |
Addresses
Primary practice location
135 Bridge Street
West Farmington, ME 04992-0302
Mailing address
PO Box 302
West Farmington, ME 04992-0302
Phone (207) 778-5437
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 321170000 | Medicaid | ME | |
| 100148 | Other | ME | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS959 | ME | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1659565968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 302",
"city": "WEST FARMINGTON",
"state": "ME",
"postal_code": "049920302",
"telephone_number": "207-778-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 BRIDGE STREET",
"city": "WEST FARMINGTON",
"state": "ME",
"postal_code": "049920302",
"telephone_number": "207-778-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINS",
"first_name": "MARK",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "321170000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "100148",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.