Active NPI
Alfonso Ortega Calderon, PSY.D.
- Clinical Psychologist
- Waterville, ME
National Provider Identifier
1932269222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS1383
- Practice address
- 30 Chase Ave
Waterville, ME 04901-4624 - Phone
- (207) 872-4340
- NPI assigned
- Dec 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PS1383 | ME | Primary |
Addresses
Primary practice location
30 Chase Ave
Waterville, ME 04901-4624
Mailing address
30 Chase Ave
Waterville, ME 04901-4624
Phone (207) 872-4340
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS1383 | ME | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1932269222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CHASE AVE",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014624",
"telephone_number": "207-872-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CHASE AVE",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014624",
"telephone_number": "207-872-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA CALDERON",
"first_name": "ALFONSO",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "PS1383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 7, 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.