Kaitlyn Elizabeth Halsema, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO4165 Issued in ME

Practice address

6 Glen Cove Dr
Rockport, ME 04856-4272

Phone

(207) 921-8632

Fax

(207) 921-5316

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, ME2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment Care Compare group
• Gateway Community Service Board

  • Community/Behavioral Health Agency
  • Brunswick, GA
  • NPI 1558478214
  Medicare reassignment NPD
• Gateway Behavioral Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Brunswick, GA
  • NPI 1124254321
  NPD
• Gateway Behavioral Health Services

  • Community/Behavioral Health Agency
  • Springfield, GA
  • NPI 1073642211
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1033790829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564272",
            "telephone_number": "207-921-8632",
            "fax_number": "207-921-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564272",
            "telephone_number": "207-921-8632",
            "fax_number": "207-921-5316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 Main St",
            "address_purpose": "LOCATION",
            "city": "Springvale",
            "state": "ME",
            "postal_code": "040831409",
            "country_code": "US",
            "telephone_number": "844-292-0111",
            "fax_number": "207-490-5263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040052411",
            "country_code": "US",
            "telephone_number": "844-292-0111",
            "fax_number": "207-661-8559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Main St",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040052411",
            "country_code": "US",
            "telephone_number": "207-283-7660",
            "fax_number": "207-283-7664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Andover Rd",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040923848",
            "country_code": "US",
            "telephone_number": "207-761-2200",
            "fax_number": "207-761-2108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALSEMA",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "DO4165",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "DO4165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENCY TRAINING PERMIT",
            "identifier": "12761",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eve K Hadley, CNM
• David Leslie Hall, MD
• Emma Victoria Hall, MD
• Marshall Craig Hall, MD
• Samuel M Hall, DPM
• Ralph C Hamill, MD
• Hanger Prosthetics & Orthotics Inc
• Heather Marie Hansen, CRNA
• Harbor Schools of Maine, Inc.
• Harbor Schools of Maine, Inc.

• Psychiatry Physician in Rockport, ME
• Providers in Rockport, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.