Shoreline Neurobehavioral Services, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

SHORELINE NEUROBEHAVIORAL SERVICES, LLC

Practice address

45 Cunningham Rd
Freeport, ME 04032-6312

Phone

(207) 934-5858

NPI assigned

Jul 9, 2014

Last updated

Jul 9, 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

Jill Snow Girard, CPC

Title

Billing Manager

Phone

(207) 934-5858

Specialties & licenses 1

Addresses

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.

• Cara Marie Orton, PSY.D.

  • Clinical Neuropsychologist
  • Freeport, ME
  • NPI 1013320357
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1801202999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CUNNINGHAM RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326312",
            "telephone_number": "207-934-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CUNNINGHAM RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326312",
            "telephone_number": "207-934-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE NEUROBEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "SNOW GIRARD",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "207-934-5858",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Shaw, FNP-BC
• Shaws Supermarkets Inc (Shaws Pharmacy #0608)
• Margaret Shepp, MD
• Amy Sherman
• Roger Pierre Shevenell Jr., LADC
• Melanie R Small, ANP-BC
• Ashley Smalley, MS, RD, LD
• Samuel Smith, OTR/L
• Laurel Snow, LCSW
• Sonnet Psychological, LLC

• Clinical Neuropsychologist in Freeport, ME
• Providers in Freeport, ME by specialty
• Clinical Neuropsychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.