Organization Active NPI

David Margolis PH.D. P.a.

  • Psychologist
  • Portland, ME
National Provider Identifier
1891943197
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
406 Issued in ME
Legal business name
DAVID MARGOLIS PH.D. P.A.
Practice address
68 Bishop St
Unit #1
Portland, ME 04103-2681
Phone
(207) 780-0014
NPI assigned
Aug 29, 2008
Last updated
Apr 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Dr. David Margolis, PH.D.
Title
Psychologist
Phone
(207) 780-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 406 ME Primary

Addresses

Primary practice location

68 Bishop St
Unit #1
Portland, ME 04103-2681

Mailing address

68 Bishop St
Unit #1
Portland, ME 04103-2681
Phone (207) 780-0014

Other identifiers 2

IdentifierTypeStateIssuer
003209OtherANTHEM BLUE CROSS
4410460OtherAETNA

National Provider Directory

National Provider Directory

Locations

477 Congress St
Ste 1300
Portland, ME 04101
Phone (207) 774-2241

80 Exchange St
Ste 22
Portland, ME 04101
Phone (207) 761-4210

Practitioners & affiliated clinicians

Practitioners 4

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": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1891943197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BISHOP ST",
            "address_2": "UNIT #1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032681",
            "telephone_number": "207-780-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 BISHOP ST",
            "address_2": "UNIT #1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032681",
            "telephone_number": "207-780-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MARGOLIS PH.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "MARGOLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "207-780-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "003209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4410460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 11, 2016; 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.