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NEUROBEHAVIORAL SERVICES OF NEW ENGLAND PC NPI 1922133115


NPI Information

NPI: 1922133115
Provider Name: NEUROBEHAVIORAL SERVICES OF NEW ENGLAND, PC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
335 BRIGHTON AVENUE
UNIT 201
PORTLAND, ME
ZIP 04102
Phone: (207) 662-8660
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NEUROBEHAVIORAL SERVICES OF NEW ENGLAND, PC is a clinical neuropsychologist in Portland, ME. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. NEUROBEHAVIORAL SERVICES OF NEW ENGLAND, PC NPI is 1922133115. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

335 BRIGHTON AVENUE
UNIT 201
PORTLAND, ME
ZIP 04102-374
Phone: (207) 662-8660
Fax: (207) 662-8492

The provider's authorized official is Philip Allen Morse .
The authorized official title is President and has the following contact phone number (207) 662-8660.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 12/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0700XPsychologistAdult Development & AgingNo
2103TC0700XPsychologistClinicalNo
3103TC2200XPsychologistClinical Child & AdolescentNo
4103G00000XClinical NeuropsychologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1154880000MEDICAIDMAINE
2MM7189MEDICARE ID-TYPE UNSPECIFIEDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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