MICHELLE FORBES SUMMERVILLE
NPI 1245974708
Pediatrics - Neurodevelopmental Disabilities in Arundel, ME

Active since April 21, 2022
COASTAL KIDS OT 1222 PORTLAND RD, ARUNDEL, ME 04046(207) 337-1058 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Forbes Summerville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE FORBES SUMMERVILLE (NPI 1245974708) is an individual neurodevelopmental disabilities provider in Arundel, Maine, licensed in Maine (PA4434) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1245974708
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameMICHELLE FORBES SUMMERVILLE
Location AddressCOASTAL KIDS OT 1222 PORTLAND RDArundel, ME 04046
Mailing Address77 Roberts Pond RdLyman, ME 04002-6714 · (207) 544-3925
Sole ProprietorYes
Enumeration DateApril 21, 2022
NPPES CertifiedApril 6, 2022
NPI 1245974708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License Licensed in ME · PA4434
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
COASTAL KIDS OT 1222 PORTLAND RD, Arundel, ME 04046

Other Identifiers 1

OtherPA4434ME · License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Summerville's NPI number?

The NPI number for Michelle Summerville is 1245974708. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Michelle Summerville located?

Michelle Summerville practices at Coastal Kids Ot 1222 Portland Rd, Arundel, ME 04046. The listed phone number is (207) 337-1058.

What is Michelle Summerville's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

When was this NPI record last updated?

The NPPES record for Michelle Summerville was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.