Jeffrey Scott Krebs, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

OS922 Issued in ME

Practice address

70 Main Street
Porter, ME 04068

Phone

(207) 625-8126

Fax

(207) 625-7820

NPI assigned

Dec 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124182241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "PARSONSFIELD",
            "state": "ME",
            "postal_code": "04047",
            "telephone_number": "207-625-8126",
            "fax_number": "207-625-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN STREET",
            "city": "PORTER",
            "state": "ME",
            "postal_code": "04068",
            "telephone_number": "207-625-8126",
            "fax_number": "207-625-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBS",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "OS922",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "000582",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "004751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Griffin
• Benjamin Edward Harwood, DMD
• Olivia Mattice Hatch
• Eileen M Kindl, LCPC
• Christopher Todd Kitchens, DO
• Kristina Marie Lauderback, MSS, MLSP, L.C.S.W
• Ariel Lemont, LMSW-CC
• Lori A Lenart, NP
• Catherine Anne McAllister, LCSW
• Jennifer B McCarthy, L.M.H.C.

• Clinical Psychologist in Porter, ME
• Providers in Porter, 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 8, 2007; 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.