Michael N. Raskin PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS 345 Issued in ME

Legal business name

MICHAEL N. RASKIN PA

Practice address

8 Main St
Lisbon Falls, ME 04252-1505

Phone

(207) 353-7254

Fax

(207) 353-7258

NPI assigned

Apr 30, 2013

Last updated

Apr 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Neil Raskin, PH.D,

Title

Owner

Phone

(207) 353-7254

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1699110064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MAIN ST",
            "city": "LISBON FALLS",
            "state": "ME",
            "postal_code": "042521505",
            "telephone_number": "207-353-7254",
            "fax_number": "207-353-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MAIN ST",
            "city": "LISBON FALLS",
            "state": "ME",
            "postal_code": "042521505",
            "telephone_number": "207-353-7254",
            "fax_number": "207-353-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N. RASKIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "RASKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-353-7254",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D,"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS 345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134320000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliza Helmick, IPDH
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• Cassandra M Lyons, PHARMD
• Roxanne Mooney
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• Lucy Nelson
• Nicole Oldenburgh
• Kimberly Jo Plourde, LCSW

• Clinical Psychologist in Lisbon Falls, ME
• Providers in Lisbon Falls, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.