Organization Active NPI

Alyson Maloy MD PC

Doing business as Brain Health Maine

  • Neurology Physician
  • Portland, ME
National Provider Identifier
1851808356
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD19147 Issued in ME
Legal business name
ALYSON MALOY MD PC
Doing business as
Brain Health Maine
Portland Cognitive and Behavioral Neurology
Practice address
735 Washington Ave
Portland, ME 04103-4928
Phone
(207) 222-3021
Fax
(207) 536-0334
NPI assigned
Jan 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Dr. Alyson E. Maloy, MDNPI 1083800106
Title
President
Phone
(207) 222-3021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD19147 ME Primary

Addresses

Primary practice location

735 Washington Ave
Portland, ME 04103-4928

Mailing address

735 Washington Ave
Portland, ME 04103-4928
Phone (207) 222-3021

Other practice location 1

449 Forest Ave # 214
Portland, ME 04101-2029
Phone (207) 222-3021 ext. 1

Other names 2

  • Brain Health Maine Doing business as
  • Portland Cognitive and Behavioral Neurology Doing business as

National Provider Directory

National Provider Directory

Locations

449 Forest Ave
Ste 214
Portland, ME 04101
Phone (207) 222-3021

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1851808356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034928",
            "telephone_number": "207-222-3021",
            "fax_number": "207-536-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034928",
            "telephone_number": "207-222-3021",
            "fax_number": "207-536-0334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 Forest Ave # 214",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012029",
            "country_code": "US",
            "telephone_number": "207-222-3021 x1",
            "fax_number": "207-536-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALYSON MALOY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "MALOY",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-222-3021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "MD19147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain Health Maine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brain Health Maine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Portland Cognitive and Behavioral Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.