NPIMap

Individual provider Active NPI

Douglas Stuart Faust, PH.D.

  • Cognitive & Behavioral Psychologist
  • Lewiston, ME
National Provider Identifier
1932237674
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
640 Issued in LA
Practice address
618 Main St
Neuropsych Testing Ctr, Goodwill Neurorehab Center
Lewiston, ME 04240-5935
Phone
(207) 513-5115
Fax
(207) 513-5116
NPI assigned
Mar 2, 2007
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 640 LA
Psychologist 103T00000X 640 LA
Cognitive & Behavioral Psychologist 103TB0200X 640 LA Primary
Clinical Psychologist 103TC0700X 640 LA
Rehabilitation Psychologist 103TR0400X 640 LA

Addresses

Primary practice location

618 Main St
Neuropsych Testing Ctr, Goodwill Neurorehab Center
Lewiston, ME 04240-5935

Mailing address

12 Old Farm HL
Unit 1
Auburn, ME 04210-4396
Phone (985) 778-9834

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
640LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Home Psychological Services LLC Clinical Past Accepting new patients
Nursing Home Psychological Services of Louisiana LLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1932237674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OLD FARM HL",
            "address_2": "UNIT 1",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104396",
            "telephone_number": "985-778-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "address_2": "NEUROPSYCH TESTING CTR, GOODWILL NEUROREHAB CENTER",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405935",
            "telephone_number": "207-513-5115",
            "fax_number": "207-513-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "DOUGLAS",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "LA",
            "license": "640",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "640",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "LA",
            "license": "640",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "640",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "LA",
            "license": "640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.