Active NPI
Matthew D Tolman, PSY.D.
- Clinical Psychologist
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- TP1291
- Practice address
- 268 Stillwater Avenue
Acadia Hospital Corp.
Bangor, ME 04401 - Phone
- (207) 973-6100
- Fax
- (207) 973-6109
- NPI assigned
- Feb 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | TP1291 | ME | Primary |
Addresses
Primary practice location
268 Stillwater Avenue
Acadia Hospital Corp.
Bangor, ME 04401
Mailing address
P.O. Box 422
Acadia Hospital Corp.
Bangor, ME 04402-0422
Phone (207) 973-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhodium Care Group Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Current | Accepting new patients | |
| Acadia Healthcare, Inc | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233
3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701
10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242
8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
1 Lawson Ln
Ste 340
Burlington, VT 05401
Phone (603) 730-7309
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1568477297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1992037980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 422",
"address_2": "ACADIA HOSPITAL CORP.",
"city": "BANGOR",
"state": "ME",
"postal_code": "044020422",
"telephone_number": "207-973-6100",
"fax_number": "207-973-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 STILLWATER AVENUE",
"address_2": "ACADIA HOSPITAL CORP.",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-973-6100",
"fax_number": "207-973-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLMAN",
"first_name": "MATTHEW",
"middle_name": "D",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "TP1291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.