| Compass Mental Health Maine Llc | |
|
251 Woodford St Portland ME 04103-5617 | |
| (207) 773-2828 | |
| Not Available |
| Full Name | Compass Mental Health Maine Llc |
|---|---|
| Speciality | Psychologist |
| Location | 251 Woodford St, Portland, Maine |
| Authorized Official Name and Position | Joshua Schoenfeld (OWNER) |
| Authorized Official Contact | 2077732828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Mental Health Maine Llc 251 Woodford St Portland ME 04103-5617 Ph: (207) 773-2828 | Compass Mental Health Maine Llc 251 Woodford St Portland ME 04103-5617 Ph: (207) 773-2828 |
| NPI Number | 1437589140 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Medicare PECOS PAC ID | 7517247315 |
|---|---|
| Medicare Enrollment ID | O20161214000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437589140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS1350 (Maine) | Primary |
| Provider Name | Joshua Schoenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386080224 PECOS PAC ID: 8426338229 Enrollment ID: I20161214000910 |
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