Jim Sparks, PH.D

NPI 1134227440 · on the registry since 2006 · sole proprietor

Practice

Address: 225 Commercial St
Suite 401b
Portland, ME 04101
Phone: (207) 772-0337
Fax: (207) 772-0308
Organisation at this address: Dylan Mckenney Md Pllc
Mark G Kiefner Phd Llc
Michelle Chmelecki Np Llc
Catherine A. Spedden, Psyd, Llc
Portland Psychiatric Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103TC0700X
Licence states on file: ME, CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine