Michael Paul Tartaglia, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1581 Issued in ME

Practice address

14 Maine St Ste 309
Brunswick, ME 04011-2033

Phone

(207) 607-4022

NPI assigned

Jun 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Southern Maine Mental Health LLC

  • Clinical Psychologist
  • Freeport, ME
  • NPI 1669335436
  NPD Authorized official
• Psychology Specialists of Maine

  • Counseling Psychologist
  • Brunswick, ME
  • NPI 1326571241
  NPD (past)

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1801099429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAINE ST STE 309",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112033",
            "telephone_number": "207-607-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAINE ST STE 309",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112033",
            "telephone_number": "207-607-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTAGLIA",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-10",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1001169",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kati S Sylvester, PA-C
• David Nickerson Taft, DMD
• Pamela Taker, PT, DPT
• Michael Talarico, MD
• James M Talbott
• John Anthony Taylor, D.O.
• Julie L Taylor, N.D., L.AC.
• Teresa C Taylor, NP-C
• Tedford Housing
• Tedford Housing

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.