Active NPI
Susan Lichtman Maataoui, PH.D.
- Clinical Psychologist
- Cape Elizabeth, ME
National Provider Identifier
1831152180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS802
- Practice address
- 1000 Shore Rd
BLDG 326
Cape Elizabeth, ME 04107-1916 - Phone
- (207) 767-1130
- NPI assigned
- Apr 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS802 | ME | Primary |
Addresses
Primary practice location
1000 Shore Rd
BLDG 326
Cape Elizabeth, ME 04107-1916
Mailing address
PO Box 6783
Portland, ME 04103-6783
Phone (207) 767-1130
Other names 1
- Dr. Susan Lorraine Lichtman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1831152180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6783",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041036783",
"telephone_number": "207-767-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SHORE RD",
"address_2": "BLDG 326",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "041071916",
"telephone_number": "207-767-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAATAOUI",
"first_name": "SUSAN",
"middle_name": "LICHTMAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PS802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LICHTMAN",
"middle_name": "LORRAINE",
"prefix": "DR.",
"credential": "PH.D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cape Elizabeth, ME
- Laura McGrath LLC (Cape Physical Therapy)
- Live Well Direct Primary Care and Consulting
- Meghan Loring, PT
- Kathleen Luke, MA. COUNSELING
- Frank Luongo, PH.D.
- Maine Assisted Living LLC (Kindred Assisted Living-Village Crossings)
- Maine Medical Partners (Maine Medical Partners Internal Medicine)
- Mainehealth (Maine Medical Partners Internal Medicine)
- Mainely Chiropractic LLC
- Marianne Decain Tarraza NP, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.