Active NPI
Nancy J Coleman, PH.D.
- Clinical Psychologist
- Topsham, ME
National Provider Identifier
1720041940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY00100676
- Practice address
- 16 Twin Pond Rd
Topsham, ME 04086-5150 - Phone
- (207) 725-8514
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY00100676 | ME | Primary |
Addresses
Primary practice location
16 Twin Pond Rd
Topsham, ME 04086-5150
Mailing address
16 Twin Pond Rd
Topsham, ME 04086-5150
Phone (207) 725-8514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220220000 | Medicaid | ME |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY00100676 | ME | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1720041940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 TWIN POND RD",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040865150",
"telephone_number": "207-725-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 TWIN POND RD",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040865150",
"telephone_number": "207-725-8514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PSY00100676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220220000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Topsham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.