Individual provider Active NPI

Edwin Ronald Feintech, PHD PSYCHOLOGY

  • Clinical Psychologist
  • Gray, ME
National Provider Identifier
1740269190
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS572 Issued in ME
Practice address
15 Graystone Rd
Gray, ME 04039-7517
Phone
(207) 415-2908
NPI assigned
Jan 13, 2006
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS572 ME Primary

Addresses

Primary practice location

15 Graystone Rd
Gray, ME 04039-7517

Mailing address

15 Graystone Rd
Gray, ME 04039-7517
Phone (207) 415-5290

Other names 1

  • Edwin R Feintech Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000944 ME Practitioner - Clinical Psychologist 2668413790 Practice locations: Gray, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Gray, ME 04039
Phone (207) 415-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS572MEMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1740269190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GRAYSTONE RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040397517",
            "telephone_number": "207-415-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GRAYSTONE RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040397517",
            "telephone_number": "207-415-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINTECH",
        "first_name": "EDWIN",
        "middle_name": "RONALD",
        "credential": "PHD PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWIN",
            "last_name": "FEINTECH",
            "middle_name": "R",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gray, ME

Sources for this page

Verify at the official NPI Registry.