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
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

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.

Psychologist (Clinical)
553 SHORE RD STE 2
CAPE ELIZABETH, ME 04107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447727466, enumerated as an "organization" on October 29, 2018.

The provider is located at 553 SHORE RD STE 2 CAPE ELIZABETH, ME 04107 and the phone number is (207) 400-5876.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.