Active NPIIndividual providerSole proprietor

Charles D Clemetson, MD

Psychiatry & Neurology, Psychiatry in Portland, Maine

NPI Number1649448267
Practice location
39 Foreside RD, Portland, ME 04110-1405
Fax
207-899-0138
Last updated
June 24, 2011

Charles D Clemetson is a Psychiatry & Neurology, Psychiatry based in Portland, ME. Charles D Clemetson practices in Portland, ME and has the professional credentials of MD. The NPI Number for Charles D Clemetson is 1649448267 and holds a License No. 013808 (ME). The current practice location address for Charles D Clemetson is 39 Foreside RD, Portland, ME 04110-1405 and can be reached out via phone at 207-415-2700 and via fax at 207-899-0138.

Provider Profile Details

NPI Number
1649448267
Provider Name
Charles D Clemetson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
39 Foreside RD, Portland, ME 04110-1405
Phone Number
207-415-2700
Fax Number
207-899-0138
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
February 17, 2008
Last Update Date
June 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Foreside RD
Portland, ME 04110-1405
State
Maine
Zip
04110-1405
Phone Number
207-415-2700
Fax Number
207-899-0138
Portland, ME 04110Get directions →

Provider Business Mailing Address Details

Address
39 Foreside RD
Portland, ME 04110-1405
City
Portland
State
ME
Zip
04110-1405
Phone Number
207-415-2700
Fax Number
207-899-0138

License Information

License Number (1)
013808
License State (1)
ME
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
License Number (2)
013808
License State (2)
ME

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 Charles D Clemetson, MD?

The NPI number of Charles D Clemetson, MD is 1649448267. It was assigned on February 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Charles D Clemetson, MD?

Charles D Clemetson, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in ME under license number 013808.

Where does Charles D Clemetson, MD practice?

The practice location is 39 Foreside RD, Portland, ME 04110-1405. The office can be reached at 207-415-2700 (phone) or 207-899-0138 (fax).

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 1649448267 directly on the NPPES registry website.

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