Active NPI
Kristen Elizabeth Barry, PHD
- Psychologist
- Bangor, ME
National Provider Identifier
1417933607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1616
- Practice address
- 109 State St Ste 6
Bangor, ME 04401-5343 - Phone
- (530) 925-4673
- NPI assigned
- Dec 20, 2005
- Last updated
- Jan 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1616 | ME | Primary |
| Clinical Psychologist | 103TC0700X | PSY 20144 | CA |
Addresses
Primary practice location
109 State St Ste 6
Bangor, ME 04401-5343
Mailing address
109 State St Ste 6
Bangor, ME 04401-5343
Phone (530) 925-4673
Other names 1
- Dr. Kris Eg Barry
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 |
|---|---|---|---|
| PSY 20144 | CA | MD | Clinical Psychologist |
| 20144 | CA | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darrell Broaddus Psychological Services PC | Clinical | Past | Accepting new patients |
| Acadia Healthcare, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1568477297
-
- Clinical Psychologist
- Orangevale, CA
- NPI 1215339650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1417933607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 STATE ST STE 6",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015343",
"telephone_number": "530-925-4673",
"fax_number": "207-573-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 STATE ST STE 6",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015343",
"telephone_number": "530-925-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "KRISTEN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "1616",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 20144",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRIS",
"last_name": "BARRY",
"middle_name": "EG",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.