SHORELINE NEUROBEHAVIORAL SERVICES, LLC (NPI# 1801202999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801202999 |
| Entity Type | Organization |
| Organization Name | SHORELINE NEUROBEHAVIORAL SERVICES, LLC |
| Practice Address |
45 Cunningham Rd Freeport ME 04032-6312 |
| Practice Telephone | 2079345858 |
| Mailing Telephone | 2079345858 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | JILL SNOW GIRARD (BILLING MANAGER) |
| Authorized Official Telephone | 2079345858 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
45 CUNNINGHAM RD |
| City | FREEPORT |
| State | ME |
| Zip Code | 04032-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770788598 | Austin Louis Errico | Clinical Neuropsychologist | 45 Cunningham Rd, Freeport, ME 04032-6312 | 2007-06-20 |
| 1013320357 | Cara Marie Orton | Clinical Neuropsychologist | 45 Cunningham Rd, Freeport, ME 04032-6312 | 2014-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
| 1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
| 1497851885 | Kathleen Ellen Sullivan | Social Worker | 16 Lincoln St., Suite C, Brunswick, ME 04032 | 2006-09-15 |
| Find all providers in zip 04032 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770788598 | Austin Louis Errico | Clinical Neuropsychologist | 45 Cunningham Rd, Freeport, ME 04032-6312 | 2007-06-20 |
| 1174685945 | Christine Barth Ramsay | Clinical Neuropsychologist | 21 Bailey Farm Rd, Freeport, ME 04032-5808 | 2006-12-15 |
| 1013320357 | Cara Marie Orton | Clinical Neuropsychologist | 45 Cunningham Rd, Freeport, ME 04032-6312 | 2014-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467909168 | Maureen D. Sanford | Clinical Neuropsychologist | 120 Main St Ste 126, Saco, ME 04072-3527 | 2016-09-10 |
| 1033666359 | Rebecca Richards | Clinical Neuropsychologist | 2178 Post Rd Ste 201, Wells, ME 04090-4794 | 2016-09-02 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1346457017 | Mark Gregory Kiefner | Clinical Neuropsychologist | 26 Portland Street, Portland, ME 04101 | 2007-05-16 |
| 1184774937 | Melvyn E Attfield | Clinical Neuropsychologist | 225 Commercial Street, Suite #303, Portland, ME 04101 | 2007-01-12 |
| 1821150699 | David A Marks | Clinical Neuropsychologist | 500 Route 1 Ste 26, Yarmouth, ME 04096-4712 | 2006-12-15 |
| 1386706802 | Howard R Kessler | Clinical Neuropsychologist | 500 Us Route 1 Ste 26, Yarmouth, ME 04096 | 2006-12-14 |
| 1255492716 | Robert L. Gallon | Clinical Neuropsychologist | 77 James St, Bangor, ME 04401-4661 | 2006-12-12 |
| 1336219120 | Ann Mary Palozzi | Clinical Neuropsychologist | 28 W Cole Rd Ste A, Biddeford, ME 04005-9428 | 2006-11-08 |
| 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.