Active NPI
Neuroconnections, LLC
- Psychologist
- Saco, ME
National Provider Identifier
1710403571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- NEUROCONNECTIONS, LLC
- Practice address
- 120 Main St
Saco, ME 04072-3527 - Phone
- (207) 289-0466
- NPI assigned
- Aug 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maureen D. Sanford, PSYD
- Title
- Principal Member
- Phone
- (207) 352-5011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | ME | ||
| Psychologist | 103T00000X | ME | Primary | |
| Clinical Psychologist | 103TC0700X | ME |
Addresses
Primary practice location
120 Main St
Saco, ME 04072-3527
Mailing address
120 Main St Ste 126
Saco, ME 04072-3527
Phone (207) 352-5011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Saco, ME
- NPI 1467909168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520899200000",
"number": "1710403571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MAIN ST STE 126",
"city": "SACO",
"state": "ME",
"postal_code": "040723527",
"telephone_number": "207-352-5011",
"fax_number": "207-352-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MAIN ST",
"city": "SACO",
"state": "ME",
"postal_code": "040723527",
"telephone_number": "207-289-0466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROCONNECTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-14",
"last_updated": "2018-03-13",
"status": "A",
"authorized_official_last_name": "SANFORD",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRINCIPAL MEMBER",
"authorized_official_telephone_number": "207-352-5011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "ME",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "ME",
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.