Active NPIIndividual providerSole proprietor

Michelle F Summerville

Pediatrics, Neurodevelopmental Disabilities in Arundel, Maine

NPI Number1245974708
Practice location
Coastal Kids OT 1222 Portland RD, Arundel, ME 04046
Fax
—
Last updated
April 21, 2022

Michelle Forbes Summerville is a Pediatrics, Neurodevelopmental Disabilities based in Arundel, ME. Michelle Forbes Summerville practices in Arundel, ME. The NPI Number for Michelle Forbes Summerville is 1245974708 and holds a License No. PA4434 (ME). The current practice location address for Michelle Forbes Summerville is Coastal Kids OT 1222 Portland RD, Arundel, ME 04046 and can be reached out via phone at 207-337-1058.

Provider Profile Details

NPI Number
1245974708
Provider Name
Michelle Forbes Summerville
Provider Entity Type
Individual
Gender
Female
Address
Coastal Kids OT 1222 Portland RD, Arundel, ME 04046
Phone Number
207-337-1058
Primary Taxonomy
Pediatrics, Neurodevelopmental Disabilities · 2080P0008X
Sole Proprietor
Yes
Provider Enumeration Date
April 21, 2022
Last Update Date
April 21, 2022
Certification Date
April 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Coastal Kids OT 1222 Portland RD
Arundel, ME 04046
State
Maine
Zip
04046
Phone Number
207-337-1058
Arundel, ME 04046Get directions →

Provider Business Mailing Address Details

Address
77 Roberts Pond RD
Lyman, ME 04002-6714
City
Lyman
State
ME
Zip
04002-6714
Phone Number
207-544-3925

License Information

License Number
PA4434
License State
ME
Taxonomy
Pediatrics, Neurodevelopmental Disabilities · 2080P0008X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle F Summerville?

The NPI number of Michelle F Summerville is 1245974708. It was assigned on April 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Michelle F Summerville?

Michelle F Summerville is registered under the primary taxonomy Pediatrics, Neurodevelopmental Disabilities (code 2080P0008X), licensed in ME under license number PA4434.

Where does Michelle F Summerville practice?

The practice location is Coastal Kids OT 1222 Portland RD, Arundel, ME 04046. The office can be reached at 207-337-1058 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245974708 directly on the NPPES registry website.

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