NPI 1629616396 · live from the CMS NPI Registry
Adam Golonka, PsyD, BCBA-D
Psychologist in Westbrook, ME. National Provider Identifier 1629616396, active.
NPI record
| NPI | 1629616396 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 123 Andover Rd, Westbrook, ME 04092 |
| Practice phone | 207-661-6219 |
| Enumerated | December 12, 2019 |
| Last updated | December 12, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-12645 |
| Psychologist primary | 103T00000X | PS1522 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.