Ellen J Popenoe, PHD, MPH | |
1577 Congress St., 2nd Floor, Portland, ME 04102-2169 | |
(207) 662-1442 | |
(207) 775-2467 |
Full Name | Ellen J Popenoe |
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Gender | Female |
Speciality | Psychologist |
Location | 1577 Congress St., Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114013661 | NPI | - | NPPES |
431921399 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS557 (Maine) | Primary |
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Ellen J Popenoe, PHD, MPH 301 Us Route 1, Building C, Scarborough, ME 04074-9701 Ph: (207) 396-8600 | Ellen J Popenoe, PHD, MPH 1577 Congress St., 2nd Floor, Portland, ME 04102-2169 Ph: (207) 662-1442 |
Dr. John Neal Stewart, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 9 Hastings St, Portland, ME 04102 Phone: 207-772-8999 | |
Dr. Toby A Ansfield, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 145 Newbury St, Ste 2, Portland, ME 04101 Phone: 207-756-8866 | |
Dr. Elizabeth V Wheeler, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 25 Middle Street, Portland, ME 04101 Phone: 207-712-1853 Fax: 207-773-5512 | |
Elizabeth Barker, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1577 Congress St, Portland, ME 04102 Phone: 307-663-5522 | |
Dr. Gail Goza-macmullan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 73 Washington Ave, Portland, ME 04101 Phone: 207-771-3553 Fax: 781-687-3470 | |
Ms. Gabrielle Broche, LCPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Pitt Street, Portland, ME 04103 Phone: 207-828-1023 | |
Christine Dub, Psychologist Medicare: Medicare Enrolled Practice Location: 37 Andover Road, Portland, ME 04102 Phone: 207-661-3600 |