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DR. JERI KROGH SIDES PH.D.
NPI 1952494270
Psychologist - Clinical in Portland, ME

Active since September 30, 2006Opted out of Medicare · through Jan 1, 2027
30 PLEASANT ST, PORTLAND, ME 04101(207) 773-4003 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeri Krogh Sides Ph.d. NPPES

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

DR. JERI KROGH SIDES PH.D. (NPI 1952494270) is an individual clinical provider in Portland, Maine, licensed in Maine (PSY596) and active in the NPI registry since September 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952494270
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JERI KROGH SIDESCredential: PH.D.
Location Address30 PLEASANT STPortland, ME 04101-3912
Mailing Address30 Pleasant StPortland, ME 04101-3912 · (207) 773-4003
Phone(207) 773-4003
Sole ProprietorYes
Enumeration DateSeptember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952494270 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 · PSY596
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.
30 PLEASANT ST, Portland, ME 04101
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Other Identifiers 1

Medicare ID-Type UnspecifiedMM3601ME · Medicare Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jeri Krogh Sides Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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 Jeri Sides's NPI number?

The NPI number for Jeri Sides is 1952494270. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is Jeri Sides located?

Jeri Sides practices at 30 Pleasant St, Portland, ME 04101. The listed phone number is (207) 773-4003.

What is Jeri Sides's specialty?

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

Is Jeri Sides enrolled in Medicare?

No. Jeri Sides has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeri Sides was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.