LECLAIR BEHAVIORAL HEALTH, LLC (NPI# 1568689065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568689065 |
| Entity Type | Organization |
| Organization Name | LECLAIR BEHAVIORAL HEALTH, LLC |
| Practice Address |
25 Pleasant View Dr Gray ME 04039-9572 |
| Mailing Address |
Po Box 1140 Gray ME 04039-1140 |
| Practice Telephone | 2074283055 |
| Practice Fax Number | 2074283069 |
| Mailing Telephone | 2074283055 |
| Mailing Fax Number | 2074283069 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | DR. STEVEN WILDER LECLAIR (PRINCIPAL) |
| Authorized Official Telephone | 2074283055 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CC 129 | ME | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CC129 | ME | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
CC 129 | ME | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PS 743 | ME | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PS 743 | ME | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PS743 | ME | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PS 743 | ME | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PS 743 | ME | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS 743 | ME | Behavioral Health & Social Service Providers |
| Street Address |
25 PLEASANT VIEW DR |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821215328 | Steven Wilder Leclair | Psychologist | 25 Pleasant View Dr, Gray, ME 04039-9572 | 2007-04-19 |
| 1346467842 | Norma Jean Leclair | Counselor | 25 Pleasant View Dr, Gray, ME 04039-9572 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912201658 | Kristy Marie Keefe | Psychologist | 52 Yellow Bird Ln, Gray, KY 40734-6656 | 2011-01-10 |
| 1194173203 | Sandra J Nantz | Psychologist | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2016-05-31 |
| 1386704344 | Wendy N. Kjeldgaard | Psychologist | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1720696586 | Sound Mind Psychology LLC | Psychologist | 110 Main St Ste 1201b, Saco, ME 04072-3516 | 2020-07-17 |
| 1134769391 | Lagom Psychology, Pllc | Psychologist | 106 Lafayette St Ste 2b, Yarmouth, ME 04096-6125 | 2020-01-15 |
| 1952942559 | Andrea J Medaris | Psychologist | 153 Park Row Ste 302, Brunswick, ME 04011-2053 | 2019-10-04 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1841785680 | Joseph Michael Graziadei | Psychologist | 21 Poolside Ln, Biddeford, ME 04005-9466 | 2018-06-25 |
| 1548770332 | Amanda Seirup | Psychologist | 16 Lincoln St Ste C, Brunswick, ME 04011-1900 | 2017-10-05 |
| 1942743679 | Medoptions of Maine, LLC | Psychologist | 45 Memorial Cir, Augusta, ME 04330-6400 | 2016-11-29 |
| 1578019113 | Lydia Ward-gray, Psyd, LLC | Psychologist | 19 South Street, Suite 4, Portland, ME 04101 | 2016-09-01 |
| 1942652656 | Nancy Slobodnik | Psychologist | 1 Va Ctr # 28, Augusta, ME 04330-6719 | 2016-07-06 |
| 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.