DR. ANDREA J MEDARIS PSY.D
NPI 1952942559
Psychologist - Clinical in Brunswick, ME

Q: What is Andrea Medaris's NPI number?

The NPI number for Andrea Medaris is 1952942559. It was assigned to this individual provider in the NPPES registry on October 4, 2019.

Q: What is Andrea Medaris's specialty?

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

Q: Is Andrea Medaris enrolled in Medicare?

No. Andrea Medaris has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Andrea Medaris was last updated on October 4, 2019. 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.

Active since October 04, 2019Opted out of Medicare · through Feb 1, 2028

153 PARK ROW STE 302, BRUNSWICK, ME 04011(207) 358-9607 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Andrea J Medaris Psy.d NPPES

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

DR. ANDREA J MEDARIS PSY.D (NPI 1952942559) is an individual clinical provider in Brunswick, Maine, licensed in Maine (PS1596) and active in the NPI registry since October 2019. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1952942559

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANDREA J MEDARISCredential: PSY.D

Location Address153 PARK ROW STE 302Brunswick, ME 04011-2053

Mailing Address153 Park Row Ste 302Brunswick, ME 04011-2053 · (207) 358-9607

Phone(207) 358-9607

Sole ProprietorNo

Enumeration DateOctober 4, 2019

✔ NPI 1952942559 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 · PS1596

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.

153 PARK ROW STE 302, Brunswick, ME 04011

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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

ⓘ

Opted out of Medicare

Dr. Andrea J Medaris Psy.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 February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024

Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Andrea Medaris's NPI number?

The NPI number for Andrea Medaris is 1952942559. It was assigned to this individual provider in the NPPES registry on October 4, 2019.

Where is Andrea Medaris located?

Andrea Medaris practices at 153 Park Row Ste 302, Brunswick, ME 04011. The listed phone number is (207) 358-9607.

What is Andrea Medaris's specialty?

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

Is Andrea Medaris enrolled in Medicare?

No. Andrea Medaris has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Andrea Medaris accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Andrea Medaris 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 Andrea Medaris was last updated on October 4, 2019. 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.