Individual provider Active NPI

Ashley Eva Besemer, PSY.D

  • Clinical Psychologist
  • Biddeford, ME
National Provider Identifier
1891037453
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS1605 Issued in ME
Practice address
22 W Cole Rd Ste 103
Biddeford, ME 04005-9431
Phone
(207) 571-9923
Fax
(207) 517-9927
NPI assigned
Mar 21, 2013
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS1605 ME Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

22 W Cole Rd Ste 103
Biddeford, ME 04005-9431

Mailing address

21 Crestwood Dr
Standish, ME 04084-6615
Phone (413) 204-7278

Other practice location 1

255 River St
Mattapan, MA 02126-2729
Phone (617) 534-2050 ext. 27

Other names 1

  • Ashley Eva Wood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211116003039 ME Practitioner - Clinical Psychologist 9537558309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS1605MEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Community Services CurrentSince Aug 13, 2021 Accepting new patients
Boston Medical Center/Spark Center Past Accepting new patients
Boston Medical Center/Spark Center Past Accepting new patients

Locations

22 W Cole Rd
Ste 103
Biddeford, ME 04005
Phone (207) 571-9923

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1891037453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CRESTWOOD DR",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846615",
            "telephone_number": "413-204-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W COLE RD STE 103",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059431",
            "telephone_number": "207-571-9923",
            "fax_number": "207-517-9927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 River St",
            "address_purpose": "LOCATION",
            "city": "Mattapan",
            "state": "MA",
            "postal_code": "021262729",
            "country_code": "US",
            "telephone_number": "617-534-2050 x27",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESEMER",
        "first_name": "ASHLEY",
        "middle_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1605",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WOOD",
            "middle_name": "EVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.