Active NPI
Bruce Britton Kerr, PHD
- Clinical Psychologist
- Kennebunk, ME
National Provider Identifier
1093041782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00509
- Practice address
- 153 Port Rd
Kennebunk, ME 04043-7780 - Phone
- (207) 967-4404
- NPI assigned
- Oct 30, 2009
- Last updated
- Oct 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00509 | ME | Primary |
Addresses
Primary practice location
153 Port Rd
Kennebunk, ME 04043-7780
Mailing address
PO Box 805
Kennebunk, ME 04043-0805
Phone (207) 967-4404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00509 | ME | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1093041782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 805",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040430805",
"telephone_number": "207-967-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 PORT RD",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040437780",
"telephone_number": "207-967-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "BRUCE",
"middle_name": "BRITTON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-30",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ME",
"license": "00509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennebunk, ME
- Kennebunk Operations, LLC (RiverRidge Center)
- Kennebunk Operations, LLC (RiverRidge Center)
- Kennebunk Walk-in Clinic (Family Practice on the River)
- Kenneth D Warren DPM PLLC
- Alex Kerbaugh, DMD
- Fran S Kessler, LCSW
- Kim Davis LCSW LLC
- Patricia E. Kolosowski, PHD
- Zander M Kosmala
- Kristina Caron Occupational Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.