DR. MARY E FOGG PHD
NPI 1639264930
Psychologist in Portland, ME

Active since October 03, 2006
131 CHADWICK STREET, PORTLAND, ME 04102(207) 662-4389(207) 662-4389 Get Directions Write a Review

NPPES record last updated: December 15, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Mary E Fogg Phd NPPES

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

DR. MARY E FOGG PHD (NPI 1639264930) is an individual psychologist in Portland, Maine, licensed in Maine (PS550) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1639264930
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY E FOGGCredential: PHD
Location Address131 CHADWICK STREETPortland, ME 04102
Mailing Address45 Lady's Slipper WayGorham, ME 04038
Fax(207) 662-4389
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 15, 2008
NPI 1639264930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ME · PS550
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
131 CHADWICK STREET, Portland, ME 04102

Other Identifiers 2

Medicare PINMM545501ME
Medicare PINMM5455ME

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
131 CHADWICK STREET
PORTLAND, ME 04102

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 Mary Fogg's NPI number?

The NPI number for Mary Fogg is 1639264930. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Mary Fogg located?

Mary Fogg practices at 131 Chadwick Street, Portland, ME 04102. The listed phone number is (207) 662-4389.

What is Mary Fogg's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mary Fogg was last updated on December 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.