Active NPI
Margo Denise Maine, PH.D.
- Clinical Psychologist
- West Hartford, CT
National Provider Identifier
1891835641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001264
- Practice address
- 970 Farmington Ave
Suite 301
West Hartford, CT 06107-2139 - Phone
- (860) 313-4431
- Fax
- (860) 313-4437
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001264 | CT | Primary |
Addresses
Primary practice location
970 Farmington Ave
Suite 301
West Hartford, CT 06107-2139
Mailing address
970 Farmington Avenue
Suite 301
West Hartford, CT 06107
Phone (860) 313-4431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001264 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine & Weinstein Specialty Group, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- West Hartford, CT
- NPI 1487861878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891835641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 FARMINGTON AVENUE",
"address_2": "SUITE 301",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "06107",
"telephone_number": "860-313-4431",
"fax_number": "860-313-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 FARMINGTON AVE",
"address_2": "SUITE 301",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072139",
"telephone_number": "860-313-4431",
"fax_number": "860-313-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINE",
"first_name": "MARGO",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "001264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.