Emmanuel N Gideon Sr.
Psychologist, Cognitive & Behavioral in South Portland, Maine
1508507047- Practice location
- 15 Wainwright Cir E, South Portland, ME 04106-2516
- Phone
- 207-671-5054
- Fax
- —
- Last updated
- April 6, 2022
Emmanuel Norman Gideon is a Psychologist, Cognitive & Behavioral based in South Portland, ME. Emmanuel Norman Gideon practices in South Portland, ME. The NPI Number for Emmanuel Norman Gideon is 1508507047 and holds a License No. 9957298 (ME). The current practice location address for Emmanuel Norman Gideon is 15 Wainwright Cir E, South Portland, ME 04106-2516 and can be reached out via phone at 207-671-5054.
Provider Profile Details
- NPI Number
- 1508507047
- Provider Name
- Emmanuel Norman Gideon
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Wainwright Cir E, South Portland, ME 04106-2516
- Phone Number
- 207-671-5054
- Primary Taxonomy
- Psychologist, Cognitive & Behavioral · 103TB0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 6, 2022
- Last Update Date
- April 6, 2022
- Certification Date
- April 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Wainwright Cir E
South Portland, ME 04106-2516 - City
- South Portland
- State
- Maine
- Zip
- 04106-2516
- Phone Number
- 207-671-5054
Provider Business Mailing Address Details
- Address
- 15 Wainwright Cir E
South Portland, ME 04106-2516 - City
- South Portland
- State
- ME
- Zip
- 04106-2516
License Information
- Taxonomy (1)
- Psychologist, Cognitive & Behavioral · 103TB0200X
- License Number (2)
- 9957298
- License State (2)
- ME
- Taxonomy (2)
- Psychologist, Cognitive & Behavioral · 103TB0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Emmanuel N Gideon Sr.?
The NPI number of Emmanuel N Gideon Sr. is 1508507047. It was assigned on April 6, 2022 and is currently active in the NPPES registry.
What is the specialty of Emmanuel N Gideon Sr.?
Emmanuel N Gideon Sr. is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in ME under license number 9957298.
Where does Emmanuel N Gideon Sr. practice?
The practice location is 15 Wainwright Cir E, South Portland, ME 04106-2516. The office can be reached at 207-671-5054 (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 1508507047 directly on the NPPES registry website.