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EAST COAST WELLNESS LLC
NPI 1447727466
Psychologist - Clinical in Cape Elizabeth, ME

Active since October 29, 2018
553 SHORE RD STE 2, CAPE ELIZABETH, ME 04107(207) 400-5876 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 13, 2021, Oct 29, 2018 (2 updates tracked since 2018).

About East Coast Wellness Llc NPPES

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

EAST COAST WELLNESS LLC (NPI 1447727466) is a healthcare organization registered as a clinical in Cape Elizabeth, Maine and active in the NPI registry since October 2018. The organization maintains a secondary practice location in Portland and lists Loren Bush, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1447727466
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEAST COAST WELLNESS LLC
Location Address553 SHORE RD STE 2Cape Elizabeth, ME 04107-1010
Mailing Address553 Shore Rd Ste 2Cape Elizabeth, ME 04107-1010 · (207) 400-5876
Phone(207) 400-5876
Organization SubpartNo
Authorized OfficialLoren BushClinical Psychologist · (207) 400-5092
Enumeration DateOctober 29, 2018
Last NPPES UpdateSeptember 13, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1447727466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition

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.

553 SHORE RD STE 2, Cape Elizabeth, ME 04107
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Secondary Practice Location 1

Location 1205 Ocean AvePortland, ME 04103-5712 · Phone (207) 773-7993 ext. 13 · Fax (207) 773-5512

Other Identifiers 2

MedicaidE300280666ME
MedicaidE300279945ME

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. QUYNN WISCOMBE MOREHOUSE PSYD
Psychologist (Clinical)
553 SHORE RD STE 2
CAPE ELIZABETH, ME 04107
Cumberland County (207) 400-5876

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 East Coast Wellness LLC's NPI number?

The NPI number for East Coast Wellness LLC is 1447727466. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is East Coast Wellness LLC located?

East Coast Wellness LLC is located at 553 Shore Rd Ste 2, Cape Elizabeth, ME 04107. The listed phone number is (207) 400-5876.

What is East Coast Wellness LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for East Coast Wellness LLC was last updated on September 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.