Lyle Vintinner
Psychologist (Clinical)

Address: 53 Baxter Blvd Ste 3, Portland, ME 04101-1827
Phone: 4133565423

Lyle Vintinner (NPI# 1861007387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1861007387
Entity Type Individual
Full Name Lyle Vintinner
Credential PSY.D.
Gender Male
Practice Address 53 Baxter Blvd Ste 3
ME 04101-1827
Practice Telephone 4133565423
Mailing Address 12 1st St Ste 2
ME 04086-1334
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-09-11
Last Update Date 2020-09-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers PS1866 ME

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy 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.
Notes: Source: American Psychological Association, [1/1/2019: new definition]

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Office Location

Street Address 53 BAXTER BLVD STE 3
State ME
Zip Code 04101-1827

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Zip Code 04101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.