Active NPI
Deborah Jean Devine, PSYD
- Psychologist
- Gorham, ME
National Provider Identifier
1780657197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 670
- Practice address
- 20 Mechanic St
Gorham, ME 04038-1560 - Phone
- (207) 839-2450
- Fax
- (207) 839-6469
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 670 | ME | Primary |
Addresses
Primary practice location
20 Mechanic St
Gorham, ME 04038-1560
Mailing address
20 Mechanic St
Gorham, ME 04038-1560
Phone (207) 839-2450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025624 | Other | ME | ANTHEM PROVIDER NUMBER |
| 251920000 | Medicaid | ME |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040113000137 | ME | Practitioner - Clinical Psychologist | 5092615252 | Practice locations: Gorham, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
510 Main St
Gorham, ME 04038-1339
Phone (207) 839-2450
PO Box
Suite 756
Gorham, ME 04038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 670 | ME | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1780657197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MECHANIC ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381560",
"telephone_number": "207-839-2450",
"fax_number": "207-839-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MECHANIC ST",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381560",
"telephone_number": "207-839-2450",
"fax_number": "207-839-6469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "025624",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251920000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.