Active NPI
Boston Child Study Center - Maine, P.C.
- Clinical Psychologist
- Portland, ME
National Provider Identifier
1982283172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- BOSTON CHILD STUDY CENTER - MAINE, P.C.
- Practice address
- 68 Commercial St FL 2
Portland, ME 04101-5089 - Phone
- (207) 200-7860
- NPI assigned
- Apr 5, 2021
- Last updated
- Apr 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Madigan, PSY.D.
- Title
- President
- Phone
- (617) 299-0228
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
68 Commercial St FL 2
Portland, ME 04101-5089
Mailing address
20 Kent CT Unit 2
Somerville, MA 02143-3565
Phone (631) 553-0662
National Provider Directory
National Provider DirectoryLocations
68 Commercial St
Fl 2
Portland, ME 04101
Phone (207) 200-7860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Belmont, MA
- NPI 1467854299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617580800000",
"number": "1982283172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 KENT CT UNIT 2",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433565",
"telephone_number": "631-553-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 COMMERCIAL ST FL 2",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041015089",
"telephone_number": "207-200-7860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON CHILD STUDY CENTER - MAINE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-05",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A",
"authorized_official_last_name": "MADIGAN",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-299-0228",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.