DR. NICHOLAS J REHAGEN


Address: 2 Pine Ave, Livermore Falls, ME 04254-1330
Phone: 2078975488

DR. NICHOLAS J REHAGEN (NPI# 1013122175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013122175
Entity Type Individual
Full Name DR. NICHOLAS J REHAGEN
Credential PH.D.
Practice Address 2 Pine Ave
Livermore Falls
ME 04254-1330
Mailing Address 49 Androscoggin Blfs
Livermore Falls
ME 04254-4020
Practice Telephone 2078975488
Practice Fax Number 2078974029
Mailing Telephone 2078975488
Mailing Fax Number 2078974029
Enumeration Date 2007-05-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
347 ME Behavioral Health & Social Service Providers

Other Providers NICHOLAS REHAGEN

NPI Name Taxonomy Address Enumeration
1124558986 Nicholas Rehagen Specialist/Technologist 304 Timber Creek Rd, Jefferson City, MO 65109 2017-06-14

Office Location

Street Address 2 PINE AVE
City LIVERMORE FALLS
State ME
Zip Code 04254-1330

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1770761041 William P. Beeaker, O.d. Eyewear Supplier (Equipment, not the service) 32 Main St, Livermore Falls, ME 04254-0705 2008-02-08
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1942743679 Medoptions of Maine, LLC Psychologist 45 Memorial Cir, Augusta, ME 04330-6400 2016-11-29
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Competitor

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City LIVERMORE FALLS
Zip Code 04254

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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