Sarah Ustinov
Individual provider Active NPI Forensic Psychologist · Richmond, ME
NPI 1699166363 · NPPES record last updated Feb 16, 2015
Key facts
- NPI
- 1699166363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Forensic Psychologist 103TF0200X
- License
- 1393 (ME)
- Practice address
- 3 Baker St
Richmond, ME 04357-1387 - Phone
- (207) 358-0505
- Fax
- (888) 972-3885
- NPI assigned
- Feb 16, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1393 | ME | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1393 | ME | |
| Forensic Psychologist | 103TF0200X | 1393 | ME | Yes |
Addresses
Primary practice location
3 Baker St
Richmond, ME 04357-1387
Mailing address
PO Box 39
South Gardiner, ME 04359-0039
Other names
- Dr. Sarah Miller
Other providers in Richmond, ME
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- Agnieszka Smith
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- Town of Richmond Dba Richmond School Department
- Yuriy Ustinov
- Elsie Winokurzew
- Michelle Young
- Crystal Theresa Zagwyn
All providers in Richmond, ME · Forensic Psychologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.