| Bayside Psychology And Consulting, Llc | |
|
1 Union St Ste 402 Portland ME 04101-4048 | |
| (207) 464-4080 | |
| (207) 850-2116 |
| Full Name | Bayside Psychology And Consulting, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1 Union St Ste 402, Portland, Maine |
| Authorized Official Name and Position | Marshall J Robinson (OWNER) |
| Authorized Official Contact | 2074644080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Psychology And Consulting, Llc 1 Union St Ste 402 Portland ME 04101-4048 Ph: (207) 464-4080 | Bayside Psychology And Consulting, Llc 1 Union St Ste 402 Portland ME 04101-4048 Ph: (207) 464-4080 |
| NPI Number | 1639637432 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 03/11/2019 |
| Medicare PECOS PAC ID | 1850728858 |
|---|---|
| Medicare Enrollment ID | O20200304002015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639637432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jenelle C Fitch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871939306 PECOS PAC ID: 8426310624 Enrollment ID: I20180328002072 |
| Provider Name | Susan Palmgren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912063785 PECOS PAC ID: 0042364127 Enrollment ID: I20200424002522 |
| Provider Name | Elizabeth A Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073019527 PECOS PAC ID: 8426434812 Enrollment ID: I20221010000170 |
Soul Sanctuary, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Forest Ave, Portland, ME 04103 Phone: 617-690-9020 | |
Catholic Charities Maine Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 307 Congress Street, Portland, ME 04101 Phone: 207-781-8550 Fax: 207-781-8560 | |
Dani Fazio Psychotherapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 57 Exchange St Ste 203, Portland, ME 04101 Phone: 207-618-6588 Fax: 207-203-6480 | |
Ingraham Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Monument Sq, Portland, ME 04101 Phone: 207-874-1055 Fax: 207-774-5901 | |
Alliance Residential Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Boyd St Apt 501, Portland, ME 04101 Phone: 860-710-6770 | |
Scrx-lifetransitions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Saint John St Ste 208, Portland, ME 04102 Phone: 207-891-8618 | |
Lauren Grousd Lcpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Forest Ave, Portland, ME 04101 Phone: 207-650-8906 Fax: 207-221-2130 |