Active NPI
Joshua Ryan Kingsbury, PH.D.
- Psychologist
- Portland, ME
National Provider Identifier
1376888511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS1366
- Practice address
- 251 Woodford St
Portland, ME 04103 - Phone
- (207) 944-8608
- NPI assigned
- Nov 28, 2012
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS1366 | ME | Primary |
Addresses
Primary practice location
251 Woodford St
Portland, ME 04103
Mailing address
251 Woodford St
Portland, ME 04103-5617
Phone (207) 773-2828
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140324000101 | ME | Practitioner - Clinical Psychologist | 7618121666 |
Reassigns benefits to 1 organization Practice locations: Portland, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
251 Woodford St
Portland, ME 04103-5617
Phone (207) 773-2828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingsbury Counseling, LLC | Current | Accepting new patients |
Locations
251 Woodford St
Portland, ME 04103
Phone (207) 749-2343
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1376888511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 WOODFORD ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041035617",
"telephone_number": "207-773-2828",
"fax_number": "207-761-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 WOODFORD ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-944-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSBURY",
"first_name": "JOSHUA",
"middle_name": "RYAN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-28",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS1366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.