Individual provider Active NPI

James M Claiborn, PHD

  • Clinical Psychologist
  • South Portland, ME
National Provider Identifier
1831169259
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS 1113 Issued in ME
Practice address
6 D St
South Portland, ME 04106-2820
Phone
(207) 799-0408
Fax
(207) 767-7002
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS 1113 ME Primary

Addresses

Primary practice location

6 D St
South Portland, ME 04106-2820

Mailing address

205 Ocean Ave
Portland, ME 04103-5712
Phone (207) 799-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040728001073 ME Practitioner - Clinical Psychologist 3971573874 Practice locations: Portland, ME
I20230608002745 CA Practitioner - Clinical Psychologist 3971573874 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Texas Tech University Health Science Center School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 Ocean Ave
Portland, ME 04103-5712
Phone (207) 799-0408

7 W Figueroa St
Suite 300
Santa Barbara, CA 93101-3189
Phone (207) 799-0408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294NHMDMental Health Counselor
PS 1113MEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Occupational Exchange, Inc PastSince Sep 5, 2023 Accepting new patients
Sweetser Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1831169259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035712",
            "telephone_number": "207-799-0408",
            "fax_number": "207-767-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 D ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062820",
            "telephone_number": "207-799-0408",
            "fax_number": "207-767-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIBORN",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS 1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.