Individual provider Active NPI

Jennifer L. Graham, MD

  • Psychiatry Physician
  • Biddeford, ME
National Provider Identifier
1790843753
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD17421 Issued in ME
Practice address
235 Main St
Biddeford, ME 04005-2411
Phone
(207) 283-7660
Fax
(207) 283-7664
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD17421 ME Primary

Addresses

Primary practice location

235 Main St
Biddeford, ME 04005-2411

Mailing address

78 Atlantic PL
South Portland, ME 04106-2316
Phone (207) 661-6654

Other practice location 1

123 Andover Rd
Westbrook, ME 04092-3848
Phone (207) 761-2200

Other practice location 2

66 Baribeau Dr
Brunswick, ME 04011-3230
Phone (207) 373-6991

Other practice location 3

165 Lancaster St
Portland, ME 04101-2406
Phone (207) 661-3500

Other practice location 4

25 June St
Sanford, ME 04073-2621
Phone (207) 490-7000

Other practice location 5

474 Main St
Springvale, ME 04083-1409
Phone (844) 292-0111

Other practice location 6

2 Springbrook Dr
Biddeford, ME 04005-9443
Phone (844) 292-0111

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000066 ME Practitioner - Psychiatry 7214038546 Reassigns benefits to 1 organization
Practice locations: Portland, ME

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

165 Lancaster St
Portland, ME 04101-2406
Phone (207) 874-1030

2 Springbrook Dr
Biddeford, ME 04005-9443
Phone (844) 292-0111

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

235 Main St
Biddeford, ME 04005-2411
Phone (207) 283-7660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17421MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jan 5, 2019 Accepting new patients
Mainehealth CurrentSince Jan 5, 2019 Accepting new patients
Ingraham Past Accepting new patients

Locations

235 Main St
Biddeford, ME 04005
Phone (207) 283-7660

2 Springbrook Dr
Biddeford, ME 04005
Phone (207) 252-1500

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

66 Baribeau Dr
Brunswick, ME 04011
Phone (207) 373-6950

165 Lancaster St
Portland, ME 04101
Phone (207) 874-1030

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

25 June St
Sanford, ME 04073
Phone (207) 324-4310

78 Atlantic Pl
South Portland, ME 04106
Phone (207) 661-6654

474 Main St
Springvale, ME 04083
Phone (207) 324-1500

123 Andover Rd
Westbrook, ME 04092
Phone (207) 761-2200

Interoperability endpoints

  • Direct secure messaging: jgraham118882@direct.mmc.mainehealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1790843753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ATLANTIC PL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062316",
            "telephone_number": "207-661-6654",
            "fax_number": "207-842-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAIN ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052411",
            "telephone_number": "207-283-7660",
            "fax_number": "207-283-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Andover Rd",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040923848",
            "country_code": "US",
            "telephone_number": "207-761-2200",
            "fax_number": "207-761-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Baribeau Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040113230",
            "country_code": "US",
            "telephone_number": "207-373-6991",
            "fax_number": "207-373-6080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Lancaster St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012406",
            "country_code": "US",
            "telephone_number": "207-661-3500",
            "fax_number": "207-661-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 June St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040732621",
            "country_code": "US",
            "telephone_number": "207-490-7000",
            "fax_number": "207-490-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "474 Main St",
            "address_purpose": "LOCATION",
            "city": "Springvale",
            "state": "ME",
            "postal_code": "040831409",
            "country_code": "US",
            "telephone_number": "844-292-0111",
            "fax_number": "207-490-5263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Springbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059443",
            "country_code": "US",
            "telephone_number": "844-292-0111",
            "fax_number": "207-282-2581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD17421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.