Active NPI
David T Hasson, ED.D.
- Psychologist
- Portland, ME
National Provider Identifier
1932384989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS192
- Practice address
- 142 High St Ste 517
Portland, ME 04101-2840 - Phone
- (207) 774-5301
- Fax
- (207) 829-3992
- NPI assigned
- Jan 8, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS192 | ME | Primary |
Addresses
Primary practice location
142 High St Ste 517
Portland, ME 04101-2840
Mailing address
142 High Street RM 517
Portland, ME 04101
Phone (207) 774-5301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206790000 | Medicaid | ME |
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 |
|---|---|---|---|
| PS192 | ME | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1932384989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 HIGH STREET RM 517",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04101",
"telephone_number": "207-774-5301",
"fax_number": "207-829-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 HIGH ST STE 517",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012840",
"telephone_number": "207-774-5301",
"fax_number": "207-829-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSON",
"first_name": "DAVID",
"middle_name": "T",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206790000",
"state": "ME"
}
],
"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 Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.