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SUSANNAH TULLY M. ED.
NPI 1558754200
Counselor - Professional in Portland, ME

Active since March 05, 2015
470 FOREST AVENUE, 300, PORTLAND, ME 04101(207) 854-1030 Get Directions Write a Review

NPPES record last updated: March 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susannah Tully M. Ed. NPPES

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

SUSANNAH TULLY M. ED. (NPI 1558754200) is an individual professional provider in Portland, Maine, licensed in Maine (CC4200) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1558754200
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSANNAH TULLYCredential: M. ED.
Location Address470 FOREST AVENUE, 300Portland, ME 04101
Mailing Address470 Forrester Avenue, 300Portland, ME 04101 · (207) 854-1030
Phone(207) 854-1030
Sole ProprietorNo
Enumeration DateMarch 5, 2015
✔ NPI 1558754200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · CC4200
470 FOREST AVENUE, Portland, ME 04101
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Other Names 1

Professional Name (2)Susannah Tully M. Ed.

Other Identifiers 1

OtherCC4200ME · Mainecare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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 Susannah Tully's NPI number?

The NPI number for Susannah Tully is 1558754200. It was assigned to this individual provider in the NPPES registry on March 5, 2015. The provider is also known as Susannah Tully M. Ed..

Where is Susannah Tully located?

Susannah Tully practices at 470 Forest Avenue 300, Portland, ME 04101. The listed phone number is (207) 854-1030.

What is Susannah Tully's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Susannah Tully accept?

Health plans from Harvard Pilgrim Health Care list Susannah Tully as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susannah Tully was last updated on March 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.