John S Hale Jr., EDD LICENSED PSYCHOL

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS583 Issued in ME

Practice address

607 Hudson Rd
Glenburn, ME 04401-1406

Phone

(207) 944-3804

NPI assigned

Dec 26, 2006

Last updated

Oct 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Insights Family Therapy

  • Community/Behavioral Health Agency
  • Glenburn, ME
  • NPI 1033403860
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1861557423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HUDSON RD",
            "city": "GLENBURN",
            "state": "ME",
            "postal_code": "044011406",
            "telephone_number": "207-944-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 HUDSON RD",
            "city": "GLENBURN",
            "state": "ME",
            "postal_code": "044011406",
            "telephone_number": "207-944-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "EDD LICENSED PSYCHOL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200700001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Marie Boyle, RN
• Ember Mental Health and Wellness, LLC
• Hannah Foster
• G&H Ambulance Service Inc
• Insights Family Therapy
• Sarah Logan, P.T.
• Tanya Marie Marquis, B.S.N
• Annette Frances Nelligan
• Diane Norris

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.