Mindful Paths Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS1331 Issued in ME

Legal business name

MINDFUL PATHS PSYCHOLOGICAL SERVICES

Practice address

883 Main St
Sanford, ME 04073-3672

Phone

(207) 351-6719

NPI assigned

Feb 20, 2014

Last updated

Feb 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary P Donahue, PH.D.NPI 1760769673

Title

Psychologist/Owner

Phone

(207) 351-6719

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary P Donahue, PH.D.

  • Counseling Psychologist
  • Kittery, ME
  • NPI 1760769673
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1760807200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039090838",
            "telephone_number": "207-351-6719",
            "fax_number": "207-351-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733672",
            "telephone_number": "207-351-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATHS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "207-351-6719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Sanford, ME
• Providers in Sanford, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.

Verify at the official NPI Registry.