Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
884 BROADWAY
SOUTH PORTLAND, ME 04106-4371 US

Dr. Lee Katherine Nicoloff, PHD

Clinical Psychologist


Dr. Lee Katherine Nicoloff, PHD

Overview

Dr. Lee Katherine Nicoloff, PHD is a Clinical Psychologist in the SOUTH PORTLAND area and has over 37 years of experience. Dr. Lee Katherine Nicoloff, PHD primary office location is at 884 BROADWAY and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1983 The NPI number is 1205858180 and the information was updated approximately 13 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
884 BROADWAY
SOUTH PORTLAND, ME 04106-4371 US
Phone: (207)-799-1441
Fax:
Practice Mailing Information
186 COYLE ST
PORTLAND, ME 04106-4371 US
Phone: (207)-799-1441
Fax: (207)-879-5969
License NumberState
PS632ME

No Identifiers found

Quality Reporting:

Accepts Medicare Assignment: Yes

If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount.

Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No
Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No
Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No
Committed to heart health through the Million Hearts´┐Ż initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20050721000747
PECOS Individual PAC ID:1052348901
PECOS PART B Yes
PECOS DME Yes
PECOS HHA -
PECOS PMD -
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