Michael Joseph Broggi Jr., PHD
Individual provider Active NPI Clinical Neuropsychologist · Rockport, ME
NPI 1740142595 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1740142595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- PS2691 (ME)
- Practice address
- 220 Union St
Rockport, ME 04856-6104 - Phone
- (207) 594-2952
- NPI assigned
- Dec 1, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Neuropsychiatry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Neuropsychology and Concussion Management Associates LLC
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
220 Union St
Rockport, ME 04856-6104
Phone (207) 597-2952
4 Glen Cove Dr
Suite 201
Rockport, ME 04856-4238
Phone (207) 921-5678
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260224002579 | ME | Practitioner - Neuropsychiatry | 6406337880 | Reassigns benefits to 1 organization |
| I20260325002046 | ME | Practitioner - Clinical Psychologist | 6406337880 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS2691 | ME | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychology and Concussion Management Associates LLC | Clinical Neuropsychologist | Current |
Accepting new patients |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
4 Glen Cove Dr
Ste 201
Rockport, ME 04856
Phone (207) 301-5757
220 Union St
Rockport, ME 04856
Phone (207) 594-2952
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS2691 | ME | |
| Clinical Neuropsychologist | 103G00000X | PS2691 | ME | Yes |
Addresses
Primary practice location
220 Union St
Rockport, ME 04856-6104
Mailing address
220 Union St
Rockport, ME 04856-6104
Phone (207) 594-2952
Other practice location 1
4 Glen Cove Dr Ste 201
Rockport, ME 04856-4238
Phone (207) 301-5757
Other providers in Rockport, ME
- Allan J Bogdan
- David Bradeen
- Bradley D. Lanphere
- Jeffrey F Brawn
- Karen Brennan
- Isaac Martin Bromberg
- Hannah Bode Brower
- Kara Brown
- Brian Timothy Brunacini
- Alison Elizabeth Bryant
All providers in Rockport, ME · Clinical Neuropsychologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.