THE AWARE CENTER FOR EARLY INTERVENTION, LLC
NPI 1134426323
Psychologist - Clinical in Bangor, ME

NPI Status: Active since February 24, 2011

Contact Information

61 MAIN ST
SUITE 53
BANGOR, ME
ZIP 04401
Phone: (207) 208-8301
Fax: (877) 320-4344

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  • Organization
  • Psychologist
  • Clinical

About THE AWARE CENTER FOR EARLY INTERVENTION, LLC

This page provides the complete NPI Profile along with additional information for The Aware Center For Early Intervention, Llc, a provider established in Bangor, Maine operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1134426323 assigned on February 2011. The practitioner's primary taxonomy code is 103TC0700X with license number PS1219 (ME). The provider is registered as an organization and their NPI record was last updated 14 years ago. The Aware Center For Early Intervention, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Jessica Pollard Phd (Director)

NPI
1134426323
Provider Name
THE AWARE CENTER FOR EARLY INTERVENTION, LLC
Entity Type
Organization
Location Address
61 MAIN ST SUITE 53 BANGOR, ME 04401
Location Phone
(207) 208-8301
Location Fax
(877) 320-4344
Mailing Address
61 MAIN ST SUITE 53 BANGOR, ME 04401
Mailing Phone
(207) 208-8301
Mailing Fax
(877) 320-4344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-24-2011
Last Update Date
02-24-2011
Code Navigator

A clinical psychologist like The Aware Center For Early Intervention, Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PS1219
License State
ME
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

LC10927 (ME)
2363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

AP081171 (ME)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JESSICA POLLARD PHD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(207) 208-8301

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134426323
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164821234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 8 + 2 + 1 + 2 + 3 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1134426323 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

MR. RICHARD A NOONAN ACSW, LCSW, LADC,MAC

Counselor

(Addiction (Substance Use Disorder))

61 MAIN ST
SUITE 62
BANGOR, ME
ZIP 04401

(207) 942-5800

MRS. DANIELLE S ASHFIELD LCSW

Counselor

(Mental Health)

61 MAIN ST
SUITE 53
BANGOR, ME
ZIP 04401

(207) 208-8301

JOSEPH C FARESE LADC

Counselor

(Addiction (Substance Use Disorder))

61 MAIN ST
BANGOR, ME
ZIP 04401

(207) 341-5844

LIFE LESSONS PSYCHIATRIC SERVICES, SC

Nurse Practitioner

(Psychiatric/Mental Health)

61 MAIN ST
SUITE 53
BANGOR, ME
ZIP 04401

(207) 208-8301

JAMIE STERN MSN

Nutritionist

61 MAIN ST
BANGOR, ME
ZIP 04401

(207) 951-0667

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134426323, enumerated as an "organization" on February 24, 2011.

The provider is located at 61 MAIN ST SUITE 53 BANGOR, ME 04401 and the phone number is (207) 208-8301.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.