Victoria Georgette Libby, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1536 Issued in ME

Practice address

96 Falmouth St
Portland, ME 04103-4864

Phone

(207) 780-4050

NPI assigned

Aug 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victoria Libby M.S.Ed., Psy.D. LLC

  • Clinical Psychologist
  • South Portland, ME
  • NPI 1528784022
  NPD Authorized official
• University of Maine System

  • Student Health Clinic/Center
  • Gorham, ME
  • NPI 1780020941
  NPD (past)

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1740837293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 FALMOUTH ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034864",
            "telephone_number": "207-780-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 FALMOUTH ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034864",
            "telephone_number": "207-780-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "VICTORIA",
        "middle_name": "GEORGETTE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Libby
• Curtis Mackay Libby, MD
• Derek R Libby, DO
• Jennifer Ann Libby, LAC.
• Tracy Lynn Libby, LCSW
• Maria Nicole Libertin, MD
• Liberty Bay Recovery Center, LLC
• Gianna Libonate, DO
• John Daniel Lichtman, LCSW
• Angela M. Liess, MD

• Clinical Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.