Chrysalis Psychological Services - Medicare Mental Health Clinic in Bangor, ME

Chrysalis Psychological Services is a medicare enrolled mental health clinic (Psychologist) in Bangor, Maine. The current practice location for Chrysalis Psychological Services is 323 W Broadway, Bangor, Maine. For appointments, you can reach them via phone at (207) 945-6287. The mailing address for Chrysalis Psychological Services is 323 W Broadway, Bangor, Maine and phone number is (207) 945-6287.

Chrysalis Psychological Services is licensed to practice in Maine (license number PS784). The clinic also participates in the medicare program and its NPI number is 1154330835. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 945-6287.

Contact Information

Chrysalis Psychological Services
323 W Broadway
Bangor
ME 04401-5872
(207) 945-6287
Not Available

Mental Health Clinic Profile

Full NameChrysalis Psychological Services
SpecialityPsychologist
Location323 W Broadway, Bangor, Maine
Authorized Official Name and PositionJames Lachlan Mcdonald (PSYCHOLOGIST PARTNER)
Authorized Official Contact2079456287
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chrysalis Psychological Services
323 W Broadway
Bangor
ME 04401-5872

Ph: (207) 945-6287
Chrysalis Psychological Services
323 W Broadway
Bangor
ME 04401-5872

Ph: (207) 945-6287

NPI Details:

NPI Number1154330835
Provider Enumeration Date08/05/2006
Last Update Date06/02/2008

Medicare PECOS Information:

Medicare PECOS PAC ID6305879024
Medicare Enrollment IDO20050914000106

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Medical Identifiers

Medical identifiers for Chrysalis Psychological Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154330835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS784 (Maine)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Chrysalis Psychological Services acts as a billing entity for following providers:
Provider NameJames L Mcdonald
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1316125727
PECOS PAC ID: 2062309016
Enrollment ID: I20040303000712

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Provider NameReesa M Greenberg
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1548334279
PECOS PAC ID: 8426081142
Enrollment ID: I20090408000143

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