Organization Active NPI

Boston Child Study Center - Maine, P.C.

  • Clinical Psychologist
  • Portland, ME
National Provider Identifier
1982283172
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Dr. Ryan Madigan, PSY.D.NPI 1467854299
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.