1. Home
  2. Directory
  3. Maine
  4. Bangor
  5. Psychologist
  6. NPI Profile

NEUROPSYCHOLOGY SERVICE PA
NPI 1811100068
Psychologist - Clinical in Bangor, ME

Active since May 07, 2007
277 STATE STREET, SUITE 2A, BANGOR, ME 04401(207) 990-2580(207) 990-1930 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Neuropsychology Service Pa NPPES

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

NEUROPSYCHOLOGY SERVICE PA (NPI 1811100068) is a healthcare organization registered as a clinical in Bangor, Maine and active in the NPI registry since May 2007. The organization lists Royal G Grueneich, President, as its authorized official.

NPPES Registry Identity

NPI1811100068
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameNEUROPSYCHOLOGY SERVICE PA
Location Address277 STATE STREET, SUITE 2ABangor, ME 04401-5440
Mailing Address277 State St, Suite 2aBangor, ME 04401-5439 · (207) 990-2580 · Fax (207) 990-1930
Phone(207) 990-2580
Fax(207) 990-1930
Organization SubpartNo
Authorized OfficialRoyal G GrueneichPresident · (207) 990-2580
Enumeration DateMay 7, 2007
Last NPPES UpdateDecember 2, 2010
✔ NPI 1811100068 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.
277 STATE STREET, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedNEMM7057
OtherP0724Anthem
Other5418635Aetna

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neuropsychology Service Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Neuropsychology Service PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Royal Grueneich, PHD
Clinical Psychologist
NPI 1437138765
277 STATE STREET STE 2A
Bangor, ME 04401
(207) 990-2580
✔ PECOS✔ Accepts MedicareSame address
Lola Bogyo, PH.D.
Clinical Psychologist
NPI 1689891384
277 STATE ST SUITE 2A
Bangor, ME 04401
(207) 990-2580
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Neuropsychology Service PA's NPI number?

The NPI number for Neuropsychology Service PA is 1811100068. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Neuropsychology Service PA located?

Neuropsychology Service PA is located at 277 State Street Suite 2A, Bangor, ME 04401. The listed phone number is (207) 990-2580.

What is Neuropsychology Service PA's specialty?

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

Is Neuropsychology Service PA enrolled in Medicare?

Yes. Neuropsychology Service PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neuropsychology Service PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Neuropsychology Service PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Neuropsychology Service PA accept?

Health plans from Anthem Blue Cross and Blue Shield list Neuropsychology Service PA 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 Neuropsychology Service PA was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.