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Deactivated NPI 1285659375 Deactivated / Inactive NPI Female Practitioner

Dr. Sandra Coleman , PhD

Psychologist • Bangor, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sandra Coleman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2006
NPI Deactivation Date February 20, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Coleman, PhD was a registered Psychologist practicing in Bangor, ME. Throughout an active medical career spanning 19 years, Dr. Coleman provided care at the practice location at 895 UNION ST until profile deactivation on 2025-02-20.

Practice Location & Contact Primary Location

Practice Address

895 Union St
Suite 12

Bangor, ME 044013053

Telephone 2079737979
Fax 2079479579
Associated Practice Facility / Clinic
🏢 Eastern Maine Medical Center Facility NPI 1780674580

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bangor, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.3 Yrs
State Avg: 30.5 Yrs
Regional Practice Density
30 Specialists

Practicing in Bangor, ME (281 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License ME PS764

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Heath Myers , LCSW

Social Worker - Clinical

NPI 1003330168

Licensed Clinical Social Worker

NPI 1003554601

Doctor of Osteopathic Medicine (D.O.)

NPI 1013534312

Doctor of Medicine (M.D.)

Dr. Denise Mckee , MD

Family Medicine

NPI 1023122645

Doctor of Medicine (M.D.)

Dr. Dane Wanniarachige , MD

Student in an Organized Health Care Education/Training Program

NPI 1023636503

Doctor of Medicine (M.D.)

Dr. Adam Smith , MD

Student in an Organized Health Care Education/Training Program

NPI 1033899430

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 20, 2025

Record deactivated on February 20, 2025

NPI Profile Active January 10, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2010

Registered at 895 UNION ST, SUITE 12, BANGOR, ME 044013053 (Tel: 2079737979)

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Updated Business Mailing Address January 10, 2010

Registered at 43 WHITING HILL RD, SUITE 300, BREWER, ME 044121005 (Tel: 2079735035)

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Provider Name / Credentials Updated January 10, 2010

Recorded as SANDRA COLEMAN, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2010

Psychologist (License #PS764 in ME)

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Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285659375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: January 10, 2010
Deactivation Date: February 20, 2025

Mailing Address

43 Whiting Hill Rd, Suite 300

Brewer, ME 044121005

Phone: 2079735035

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.