Kim Knowles, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS977 Issued in ME

Practice address

15 Pleasant Hill Rd Ste 204
Scarborough, ME 04074-9688

Phone

(207) 799-6166

Fax

(207) 885-1062

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Kim B. Knowles,PH.D, LLC

  • Psychologist
  • Scarborough, ME
  • NPI 1780939769
  Medicare reassignment NPD
• Integrated Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1639131287
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083677975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2121",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041162121",
            "telephone_number": "207-767-1260",
            "fax_number": "207-767-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PLEASANT HILL RD STE 204",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749688",
            "telephone_number": "207-799-6166",
            "fax_number": "207-885-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Shore Rd",
            "address_2": "BLDG 326",
            "address_purpose": "LOCATION",
            "city": "Cape Elizabeth",
            "state": "ME",
            "postal_code": "041071916",
            "country_code": "US",
            "telephone_number": "207-767-1260",
            "fax_number": "207-767-1261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "KIM",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MM793002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Kleinman, DO
• Dawn Ann Klinner-Albright, P.A.
• Jennifer Kloda, MPT
• Kara Michele Knaide, LCSW
• Andrew Knapp
• Lindsey Jean Koocher, APRN- FNP
• Carleen Kopper, COTA/L
• Katherine A Kopystanski, MS
• Naomi Kordak, LMSW
• Breta Kotkin, MAOM, LIC. AC.

• Clinical Psychologist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.