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DR. JAMES M CLAIBORN PHD
NPI 1831169259
Psychologist - Clinical in South Portland, ME

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
6 D ST, SOUTH PORTLAND, ME 04106(207) 799-0408(207) 767-7002 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. James M Claiborn Phd NPPES

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

DR. JAMES M CLAIBORN PHD (NPI 1831169259) is an individual clinical provider in South Portland, Maine, licensed in Maine (PS 1113) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1978).

NPPES Registry Identity

NPI1831169259
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAMES M CLAIBORNCredential: PHD
Location Address6 D STSouth Portland, ME 04106-2820
Mailing Address205 Ocean AvePortland, ME 04103-5712 · (207) 799-0408 · Fax (207) 767-7002
Phone(207) 799-0408
Fax(207) 767-7002
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1978
Enumeration DateJanuary 26, 2006
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1831169259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in ME · PS 1113
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.
6 D ST, South Portland, ME 04106
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James M Claiborn Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971573874
PECOS Enrollment IDI20040728001073, I20230608002745
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DOROTHY M CADY MSW
Counselor (Mental Health)
6 D ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 899-4105
DR. CAROL LYNN C KABACOFF PSY.D.
Psychologist (Adult Development & Aging)
6 D ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 321-0022
DR. PETER FLAVIN DONNELLY PSYD
Psychologist (Clinical)
6 D ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 767-7001

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 James Claiborn's NPI number?

The NPI number for James Claiborn is 1831169259. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is James Claiborn located?

James Claiborn practices at 6 D St, South Portland, ME 04106. The listed phone number is (207) 799-0408.

What is James Claiborn's specialty?

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

Is James Claiborn enrolled in Medicare?

Yes. James Claiborn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Claiborn accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list James Claiborn 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 James Claiborn was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.