Individual provider Active NPI

Pamela Denise Powers, PH.D.

  • Clinical Psychologist
  • Yarmouth, ME
National Provider Identifier
1982772406
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS674 Issued in ME
Practice address
45 Forest Falls Dr
Suite B-2
Yarmouth, ME 04096-6999
Phone
(207) 846-7800
Fax
(207) 846-7756
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS674 ME Primary

Addresses

Primary practice location

45 Forest Falls Dr
Suite B-2
Yarmouth, ME 04096-6999

Mailing address

45 Forest Falls Dr
Suite B-2
Yarmouth, ME 04096-6999
Phone (207) 846-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000286 ME Practitioner - Clinical Psychologist 0345297339 Reassigns benefits to 1 organization
Practice locations: Yarmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 Forest Falls Dr
Yarmouth, ME 04096-6999
Phone (207) 846-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS674MEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC Clinical CurrentSince May 2, 2013 Accepting new patients
Maine Neurobehavioral Services, P.a. PastSince Jul 28, 2021 Accepting new patients

Locations

750 Union St
Bangor, ME 04401
Phone (207) 942-7336

29 Maurice Dr
Brunswick, ME 04011
Phone (207) 200-5907

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982772406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR",
            "address_2": "SUITE B-2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-846-7800",
            "fax_number": "207-846-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR",
            "address_2": "SUITE B-2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-846-7800",
            "fax_number": "207-846-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "PAMELA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.