Kerry E. Hoag PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS1206 Issued in ME

Legal business name

KERRY E. HOAG PSYD

Doing business as

Lighthouse Counseling LLC

Practice address

266 York St Ste 3
York, ME 03909-1050

Phone

(207) 361-3036

NPI assigned

May 19, 2015

Last updated

May 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry E Hoag, PSYDNPI 1326080953

Title

Sole Owner

Phone

(207) 361-3036

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Counseling LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry E. Hoag, PSY.D.

  • Psychologist
  • York, ME
  • NPI 1326080953
  NPD (past) Authorized official

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1093194474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 YORK ST STE 3",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091050",
            "telephone_number": "207-361-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 YORK ST STE 3",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091050",
            "telephone_number": "207-361-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY E. HOAG PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "HOAG",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "207-361-3036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel William Keenan, MD
• Catherine A Kelley, RPH
• Tyla Nicole Kelley
• Nolan Kelly, DPT
• Kim Kelsey, LCSW
• Ferida Khanjani, D.C., MPH
• Lauren Jae Kieffer
• Christine Ann Kiklis, OT/L
• Emily Fraser Kilroy, FNP
• Anthony Price Knox, M.D.

• Psychologist in York, ME
• Providers in York, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.