NPIMap

Organization Active NPI

Health Psych Maine LLC

Doing business as Health Psych Maine

  • Health Service Psychologist
  • Waterville, ME
National Provider Identifier
1881231553
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
HEALTH PSYCH MAINE LLC
Doing business as
Health Psych Maine
Practice address
2 Big Sky LN
Waterville, ME 04901-4340
Phone
(207) 872-5800
NPI assigned
Dec 2, 2019
Last updated
Jan 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Eliza Meyer
Title
Practice Manager
Phone
(207) 872-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X NU Primary

Addresses

Primary practice location

2 Big Sky LN
Waterville, ME 04901-4340

Mailing address

2 Big Sky LN
Waterville, ME 04901-4340

Other names 1

  • Health Psych Maine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191217001824 ME Part B Supplier - Clinic/Group Practice 9739513219 Receives reassigned benefits from 10 practitioners
Practice locations: Waterville, ME

National Provider Directory

National Provider Directory
Tax ID family
Health Psych Maine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1881231553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BIG SKY LN",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BIG SKY LN",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014340",
            "telephone_number": "207-872-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PSYCH MAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "207-872-5800"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Psych Maine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.