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LYLE VINTINNER PSY.D.
NPI 1861007387
Psychologist - Clinical in Portland, ME

Active since September 11, 2020PECOS EnrolledAccepts Medicare Assignment
53 BAXTER BLVD STE 3, PORTLAND, ME 04101(413) 356-5423 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lyle Vintinner Psy.d. NPPES

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

LYLE VINTINNER PSY.D. (NPI 1861007387) is an individual clinical provider in Portland, Maine, licensed in Maine (PS1866) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861007387
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameLYLE VINTINNERCredential: PSY.D.
Location Address53 BAXTER BLVD STE 3Portland, ME 04101-1827
Mailing Address12 1st St Ste 2Topsham, ME 04086-1334
Phone(413) 356-5423
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 11, 2020
NPPES CertifiedSeptember 8, 2020
✔ NPI 1861007387 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 · PS1866
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.
53 BAXTER BLVD STE 3, Portland, ME 04101
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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

Lyle Vintinner Psy.d. 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 ID2961865407
PECOS Enrollment IDI20230830003381
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 04101 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 17

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

MARK E. THURLOW LCSW
Social Worker (Clinical)
53 BAXTER BLVD STE 3
PORTLAND, ME 04101
Cumberland County (603) 883-0005
JENNIFER L ANDERSON LCSW
Social Worker (Clinical)
53 BAXTER BLVD STE 3
PORTLAND, ME 04101
Cumberland County (603) 883-0005
CYNTHIA CANALES LCSW
Social Worker (Clinical)
53 BAXTER BLVD STE 3
PORTLAND, ME 04101
Cumberland County (603) 883-0005
SAIGE R WEEKS LCSW
Social Worker (Clinical)
53 BAXTER BLVD STE 3
PORTLAND, ME 04101
Cumberland County (603) 883-0005
DELINDA MERCER PSYD
Psychologist (Clinical)
53 BAXTER BLVD STE 3
PORTLAND, ME 04101
Cumberland County (207) 774-8700
KEVIN MICHAEL MCKEOWN LCPC
Counselor (Professional)
53 BAXTER BLVD STE 3
PORTLAND, ME 04101
Cumberland County (603) 883-0005
MS. MERRILEE DAHM LARSEN LCPC
Counselor (Professional)
53 BAXTER BLVD STE 3
PORTLAND, ME 04101
Cumberland County (603) 883-0005
BOBBY MORTON
Psychologist (Clinical)
53 BAXTER BLVD STE 3
PORTLAND, ME 04101
Cumberland County (603) 883-0005

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 Lyle Vintinner's NPI number?

The NPI number for Lyle Vintinner is 1861007387. It was assigned to this individual provider in the NPPES registry on September 11, 2020.

Where is Lyle Vintinner located?

Lyle Vintinner practices at 53 Baxter Blvd Ste 3, Portland, ME 04101. The listed phone number is (413) 356-5423.

What is Lyle Vintinner's specialty?

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

Is Lyle Vintinner enrolled in Medicare?

Yes. Lyle Vintinner 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 Lyle Vintinner accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Lyle Vintinner 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 Lyle Vintinner was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.