Individual Healthcare Provider
Diane Alicia Tennies, PH.D.
Provider's NPPES record last updated: April 16, 2013
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1023168531
- Primary Specialty
- Psychologist — Forensic
- Practice Location
- Bangor, Maine
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:02 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychologist
Forensic
Behavioral Health & Social Service Providers
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Taxonomy code 103TF0200X Psychologist
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Taxonomy code 103TA0400X
Provider-Reported License Information
- Psychologist (Maine)
- PS955
- Psychologist (Maine)
- LC 1572
Practice Locations
Practice Location
115 Franklin St
Suite 1a
Bangor, Maine 04401-4936
Phone: (207) 942-3635
Record Information
- Enumeration Date
- January 10, 2007
- Provider's NPPES Record Last Updated
- April 16, 2013
- NPISignal NPPES Dataset
- August 2026
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