Individual provider Active NPI

Matthew D Tolman, PSY.D.

  • Clinical Psychologist
  • Bangor, ME
National Provider Identifier
1992037980
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
TP1291 Issued in ME
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

Updated by the provider on Feb 2, 2010

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 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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250115003321 VA Practitioner - Clinical Psychologist 4486789377 Reassigns benefits to 1 organization
I20250128000790 DC Practitioner - Clinical Psychologist 4486789377 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodium Care Group Inc CurrentSince Sep 28, 2024 Accepting new patients
Grow Healthcare Group PA CurrentSince Dec 24, 2024 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

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Phone (502) 628-5023

232 Market St
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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.

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

Verify at the official NPI Registry.