Active NPIIndividual provider

Deklin T Fitzgerald

Counselor, Mental Health in South Portland, Maine

NPI Number1780542845
Practice location
55 Foden RD, South Portland, ME 04106-1717
Fax
—
Last updated
January 15, 2026

Deklin T Fitzgerald is a Counselor, Mental Health based in South Portland, ME. Deklin T Fitzgerald practices in South Portland, ME. The NPI Number for Deklin T Fitzgerald is 1780542845. The current practice location address for Deklin T Fitzgerald is 55 Foden RD, South Portland, ME 04106-1717 and can be reached out via phone at 207-854-1030.

Provider Profile Details

NPI Number
1780542845
Provider Name
Deklin T Fitzgerald
Provider Entity Type
Individual
Gender
Male
Address
55 Foden RD, South Portland, ME 04106-1717
Phone Number
207-854-1030
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
January 15, 2026
Last Update Date
January 15, 2026
Certification Date
January 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Foden RD
South Portland, ME 04106-1717
State
Maine
Zip
04106-1717
Phone Number
207-854-1030
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
25 Bedford St
Portland, ME 04101-1929
City
Portland
State
ME
Zip
04101-1929
Phone Number
207-232-9026

License Information

License State
ME
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Deklin T Fitzgerald?

The NPI number of Deklin T Fitzgerald is 1780542845. It was assigned on January 15, 2026 and is currently active in the NPPES registry.

What is the specialty of Deklin T Fitzgerald?

Deklin T Fitzgerald is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Deklin T Fitzgerald practice?

The practice location is 55 Foden RD, South Portland, ME 04106-1717. The office can be reached at 207-854-1030 (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 1780542845 directly on the NPPES registry website.

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