SCOTT J DAVIDSON (NPI# 1457386823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457386823 |
| Entity Type | Individual |
| Full Name | SCOTT J DAVIDSON |
| Credential | EDD |
| Practice Address |
9 Everett St Brunswick ME 04011-2403 |
| Mailing Address |
Po Box 871 Brunswick ME 04011-0871 |
| Practice Telephone | 2077515429 |
| Mailing Telephone | 2077515429 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS501 | ME | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSYCH000501 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM STAR # | 003544 | 01 |
| ME | AETNA | 5594271 | 01 |
| ME | 135350000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19 Columbia Ave, Brunswick, ME 040113041 | 2077515429 | |
| 169 South Rd, Readfield, ME 043553340 | 2077515429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750417382 | Scott J Davidson | Counselor | C O Catholic Family & Child Service, 5301 Tieton Drive Suite C, Yakima, WA 98908-3478 | 2007-02-26 |
| 1477755833 | Scott N Davidson | Dentist | 8215 Westchester Dr, Suite 211, Dallas, TX 75225-6103 | 2007-06-05 |
| 1568495398 | Scott David Davidson | Urology | 1600 W College St, Suite 140, Grapevine, TX 76051-3580 | 2006-07-07 |
| 1386611861 | Scott C Davidson | Internal Medicine | 316 Calhoun St, Charleston, SC 29401-1113 | 2006-03-03 |
| 1811977424 | Scott B Davidson | Surgery | 601 John St, Suite M452, Kalamazoo, MI 49007-5341 | 2006-01-19 |
| 1518950955 | Scott Michael Davidson | Family Medicine | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2005-08-30 |
| Street Address |
9 EVERETT ST |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952302291 | Anne Louise Funderburk | Social Worker | 9 Everett St, Brunswick, ME 04011-2403 | 2005-08-09 |
| 1144853433 | Scott J Davidson | Community/Behavioral Health | 9 Everett St, Brunswick, ME 04011-2403 | 2020-02-15 |
| 1003081266 | Healing Relationships | Social Worker | 9 Everett St, Brunswick, ME 04011-2403 | 2008-04-28 |
| 1770689168 | Steven Harrison Klockow | Social Worker | 9 Everett St, Brunswick, ME 04011-2403 | 2006-09-15 |
| 1417053703 | Leslie Bartlett Klockow | Counselor | 9 Everett St, Brunswick, ME 04011-2403 | 2006-09-15 |
| 1306864723 | Linda L Nelson | Social Worker | 9 Everett St, Brunswick, ME 04011 | 2006-07-17 |
| 1821090499 | Linda B Heller | Social Worker | 9 Everett St, Brunswick, ME 04011-2403 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1144523572 | Hilda Ives Wiley | Psychologist | 46 Macmillan Dr, Brunswick, ME 04011-3221 | 2010-12-07 |
| 1730249491 | Susan Kathryn Chandler | Psychologist | 153-b Park Row, Brunswick, ME 04011 | 2006-12-11 |
| 1013007426 | Michael J Esson | Psychologist | 1324 Pearl Rd, Suite M4, Brunswick, OH 44212-2802 | 2006-10-14 |
| 1013008994 | Kathryn W Thomas | Psychologist | 98 Maine St, Brunswick, ME 04011 | 2006-09-27 |
| 1114957529 | Geoffrey F Evans | Psychologist | 18 Lincoln St, Brunswick, ME 04011-7169 | 2006-07-03 |
| 1679510515 | Richard A Voit | Psychologist | 169 Park Row, Suite 5, Brunswick, ME 04011-2039 | 2006-05-31 |
| 1770120867 | Michaela Walsh | Psychologist | 14 Maine St Ste 309, Brunswick, ME 04011-2033 | 2019-12-08 |
| 1780909978 | Julie L. Quimby | Psychologist | 14 Maine St, Suite 216b, Brunswick, ME 04011-2049 | 2010-03-31 |
| 1952636953 | Elizabeth Banks Ryland | Psychologist | 3226 Hampton Ave Ste F, Brunswick, GA 31520-4252 | 2009-10-08 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.