Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ronald L Breazeale, PHD

Individual provider Psychologist · NPI 1780627026

Ronald L Breazeale, PHD is a Clinical Psychologist in Portland, Maine. Qualified in 1974, 52 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
52
Licensed in
ME
In the registry since
2006
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

205 Ocean Ave
Portland, ME 04103-5742
Phone: (207) 775-1335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS305 (ME)

Record details

NPI number1780627026
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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