Foreside Behavior Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FORESIDE BEHAVIOR ASSOCIATES

Practice address

1321 Washington Ave Ste 302
Portland, ME 04103-3675

Phone

(207) 613-7324

Fax

(207) 613-7333

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Susan Jarmuz-Smith, PSYD, BCBA-DNPI 1164824082

Title

Clinical Director

Phone

(207) 613-7324

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Jarmuz-Smith, PSY.D., BCBA-D

  • Clinical Psychologist
  • Portland, ME
  • NPI 1164824082

  Behavior Analyst

  Medicare reassignment NPD Authorized official
• Daniel A. Schwarz, PSY.D., NCSP

  • Psychologist
  • Portland, ME
  • NPI 1669918017
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1982076485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON AVE STE 302",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033675",
            "telephone_number": "207-613-7324",
            "fax_number": "207-613-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON AVE STE 302",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033675",
            "telephone_number": "207-613-7324",
            "fax_number": "207-613-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORESIDE BEHAVIOR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "JARMUZ-SMITH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "207-613-7324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164824082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel H Forbess, ANP
• Barbara Elaine Ford, M.S.W., LICSW
• Gregory Allen Ford, LCPC/C
• Stephen Matthew Ford, PHARMD
• Fore River Family Medicine, PA
• Anna Belle Stoddard Forest, M.S., CCC-SLP
• Carly Forest, MD
• Dory Forgit, MS, CCC-SLP
• Cynthia A Forker, M.D.
• Lindsey Forleo, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.