Dr. Gordon Powell Street is a Lincoln, Maine based psychologist with 26 years of experience in Clinical Psychology. He completed his graduation in 1998. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Gordon Powell Street is PS1177 for Clinical Psychology in Maine. His current practice location is 175 West Broadway, Lincoln. Patients can reach him at 207-794-6700 or can fax him at 207-794-0059. Dr. Gordon Powell Street is PHD in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1184699910. Dr. Gordon Powell Street is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Gordon Powell Street speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Gordon Powell Street
Specialization:
Clinical Psychology
Gender:
Male
Credentials:
PHD
Experience:
26+ years
Medical School Attended:
Other
Graduation Year:
1998
Accepts Medicare Assignment:
Yes
Practice Address:
175 West Broadway, Lincoln, Maine, 04457
Phone:
207-794-6700
Fax:
207-794-0059
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
4688681844
Enrollment ID:
I20180510000656
NPI Number:
1184699910
NPI Enumeration Date:
23 Feb, 2006
NPI Last Update On:
30 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gordon Powell Street are as mentioned below.
License Number
Specialization
State
Status
PS1177
Clinical Psychology
Maine
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Gordon Powell Street is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Health Access Network Inc (2769393180)
21
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gordon Powell Street such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
061698
Medicaid
Maine
061698
Other
Maine
ANTHEM BC/BS OF ME PIN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Gordon Powell Street 175 West Broadway, Lincoln, Maine
Zip:
04457
Phone Number:
207-794-6700
Fax Number:
207-794-0059
Patients can reach Dr. Gordon Powell Street at 175 West Broadway, Lincoln, Maine or can call to book an appointment on 207-794-6700.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.