Center for Collaborative Psychotherapy PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS1087 Issued in ME

Legal business name

CENTER FOR COLLABORATIVE PSYCHOTHERAPY PA

Practice address

80 Simpson Rd
Saco, ME 04072-9523

Phone

(207) 771-2001

Fax

(207) 771-2001

NPI assigned

Jan 18, 2010

Organization subpart

No

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

Authorized official

Name

James H Rough, PSYDNPI 1679694129

Title

Co-President

Phone

(207) 771-2001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James H Rough, PSYD

  • Psychologist
  • Portland, ME
  • NPI 1679694129
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1841521747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SIMPSON RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729523",
            "telephone_number": "207-771-2001",
            "fax_number": "207-771-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SIMPSON RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040729523",
            "telephone_number": "207-771-2001",
            "fax_number": "207-771-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COLLABORATIVE PSYCHOTHERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "ROUGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "207-771-2001",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Casavina, LCPC-C
• Michael F Cashin, DPT
• Emily Cashman, CNP
• Paulette Castillo
• John Caylor
• Kimberly Clark Chabot, LCPC
• Sarah Chaiklin Murphy, LMSW-CC
• Harold E Chamberlin, DPM
• Diane E Champagne, OT
• Abigail E. Chance, LCSW

• Psychologist in Saco, ME
• Providers in Saco, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.