Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jim Robert Sparks, PHD

Individual provider Clinical Psychologist · NPI 1134227440

Dr. Jim Robert Sparks, PHD is a Clinical Psychologist in Portland, Maine. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Maine.

Years since qualifying
31
Licensed in
CA, ME
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

225 Commercial St Ste 401B
Portland, ME 04101-6603
Phone: (207) 772-0337
Fax: (207) 772-0308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS1244 (ME)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY15376 (CA)

Record details

NPI number1134227440
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESDecember 16, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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