DR. ELIZABETH A. BOETSCH (NPI# 1538348107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538348107 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH A. BOETSCH |
| Credential | PHD |
| Practice Address |
21 Elm St Third Floor Camden ME 04843-1949 |
| Mailing Address |
Po Box 44 Rockport ME 04856-0044 |
| Practice Telephone | 2072368385 |
| Practice Fax Number | 2072360655 |
| Mailing Telephone | 2072368385 |
| Mailing Fax Number | 2072360655 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS965 | ME | Behavioral Health & Social Service Providers |
| Street Address |
21 ELM ST THIRD FLOOR |
| City | CAMDEN |
| State | ME |
| Zip Code | 04843-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134405053 | Linda A White | Counselor | 21 Elm St, Suite 403, Camden, ME 04843-1902 | 2011-10-24 |
| 1811197775 | Margaret Zwerling | Psychiatry & Neurology | 21 Elm St, Camden, ME 04843-1949 | 2007-07-19 |
| 1285842708 | Cecilia Kinast | Psychologist | 21 Elm St, Camden, ME 04843-1949 | 2007-05-18 |
| 1619095072 | Jennifer Brown Walker | Social Worker | 21 Elm St, Camden, ME 04843-1949 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633148 | Judith Orme | Social Worker | 69 Elm St., #203, Camden, ME 04843 | 2016-07-20 |
| 1497912208 | Amber Elizabeth Blanchard | Occupational Therapy Assistant | 105 Mechanic Street, Camden, ME 04843 | 2008-05-20 |
| 1083810097 | Louise P Bakley | Speech-Language Pathologist | 69 Elm Street, Camden, ME 04843 | 2007-06-26 |
| 1679787527 | School Administrative District No 28 | Local Education Agency (LEA) | 7 Lions Lane, Camden, ME 04843 | 2007-05-10 |
| 1649346925 | Suetta Tenney | Internal Medicine | Genesis Health Care Winward Gardens Nursing Center, 105 Mechanic Street, Camden, ME 04843 | 2006-11-28 |
| 1235221854 | Kathleen A Dishner | Nurse Practitioner | 62 Bayview St Unit 23, Camden, ME 04843 | 2006-09-29 |
| 1417990896 | Carlton Douglas Johnstone | Chiropractor | 49 Elm St, Camden, ME 04843 | 2006-06-14 |
| 1720048044 | Marsha Leslie Domench | Physical Therapist | 22 Park Street, Camden, ME 04843 | 2006-03-23 |
| 1619968682 | Jennifer Marie Batterman | Psychologist | 87 Elm St Ste 203, Camden, ME 04843 | 2005-10-31 |
| 1629594155 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 35 Elm St, Camden, ME 04843 | 2017-08-16 |
| Find all providers in zip 04843 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346372224 | Laurence Starr | Psychologist | 87 Elm St, Suite 204, Camden, ME 04843-1959 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932731593 | Rebecca Stetson Werner | Psychologist | 40 Forest Falls Dr Ste 1, Yarmouth, ME 04096-7005 | 2020-02-11 |
| 1902440704 | Alicia Hoffman | Psychologist | 1577 Congress St Ste 2, Portland, ME 04102-2169 | 2019-11-05 |
| 1366004251 | Lauren Holleb | Psychologist | 1 College Cir, Bangor, ME 04401-2999 | 2019-07-01 |
| 1609388644 | Anna Mayo | Psychologist | 133 Corporate Dr, Bangor, ME 04401 | 2017-10-31 |
| 1356718639 | Jordan Ciel Fearon | Psychologist | 133 Corporate Dr, Emmc, Bangor, ME 04401-4312 | 2015-08-21 |
| 1760744601 | Maine Child Psychology | Psychologist | 2 Elm St, Waterville, ME 04901-5905 | 2012-06-15 |
| 1770875833 | Jennifer Lynn Curran | Psychologist | 133 Corporate Dr, Bangor, ME 04401-4312 | 2011-05-09 |
| 1326358250 | Tim R Rogers | Psychologist | 700 Mount Hope Ave, Suite 680 Evergreen Woods, Bangor, ME 04401-5691 | 2010-10-13 |
| 1275843112 | Andrew R Kahn | Psychologist | 700 Mount Hope Ave, Suite 680 Evergreen Woods, Bangor, ME 04401-5691 | 2010-10-13 |
| 1770602641 | Shawn R Kalback | Psychologist | 149 North St, Waterville, ME 04901-4974 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
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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.