Gary Rasmussen, PH.D. Clinical Psychologist PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

491 Issued in ME

Legal business name

GARY RASMUSSEN, PH.D. CLINICAL PSYCHOLOGIST PA

Practice address

179 Main St Ste 208
Waterville, ME 04901-6672

Phone

(207) 872-5003

Fax

(207) 872-9445

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary G. Rasmussen, PH.D.

Title

President

Phone

(207) 872-5003

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1962553065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 THOMAS DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014407",
            "telephone_number": "207-872-5003",
            "fax_number": "207-872-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 MAIN ST STE 208",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016672",
            "telephone_number": "207-872-5003",
            "fax_number": "207-872-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY RASMUSSEN, PH.D. CLINICAL PSYCHOLOGIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-872-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Waterville, ME
• Providers in Waterville, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.