Individual provider Active NPI

Kelli J Baldrick, M.D.

  • Psychiatry Physician
  • Westbrook, ME
National Provider Identifier
1609092105
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD23487 Issued in ME
Practice address
123 Andover Rd
Westbrook, ME 04092-3850
Phone
(207) 761-2200
NPI assigned
Apr 17, 2007
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34449 AZ
Psychiatry Physician 2084P0800X MD23487 ME Primary

Addresses

Primary practice location

123 Andover Rd
Westbrook, ME 04092-3850

Mailing address

PO Box 2032
Concord, NH 03302-2032
Phone (603) 226-7505

Other names 1

  • Kelli J Devlieger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170407000752 CA Practitioner - Psychiatry 5991833113 Reassigns benefits to 1 organization
I20240517001121 MA Practitioner - Psychiatry 5991833113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Health Center, IncGroup PAC ID 7315840386, 26 clinicians

Practice addresses (Care Compare)

1049 Main St
Springfield, MA 01103-2114
Phone (413) 739-1100

Merit-based Incentive Payment System (MIPS)

Final score
91.27 of 100Reported as group
Quality
77.51
Promoting interoperability
100
Improvement activities
40
Cost
76.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34449AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission CurrentSince Mar 24, 2024 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
County of Santa Cruz CurrentSince Feb 21, 2017 Accepting new patients
Caring Health Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Cambridge Public Health Commission CurrentSince Mar 24, 2024 Accepting new patients
Caring Health Center, Inc CurrentSince Nov 1, 2025 Accepting new patients
Concord Hospital, Inc. PastSince Mar 1, 2020 Accepting new patients
Health Access Network Past Accepting new patients
Puentes Al Sur Past Accepting new patients

Locations

1080 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4100

1400 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4900

1430 Freedom Blvd
Watsonville, CA 95076
Phone (831) 763-8200

1430 Freedom Blvd
Ste D
Watsonville, CA 95076
Phone (831) 763-8400

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

1049 Main St
Springfield, MA 01103
Phone (413) 304-4606

1235 Boston Rd
Springfield, MA 01119
Phone (413) 693-1022

473 Sumner Ave
Springfield, MA 01108
Phone (413) 886-0410

860 Boston Rd
Springfield, MA 01119
Phone (413) 783-9616

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1609092105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2032",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033022032",
            "telephone_number": "603-226-7505",
            "fax_number": "203-792-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ANDOVER RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923850",
            "telephone_number": "207-761-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDRICK",
        "first_name": "KELLI",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "34449",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD23487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "DEVLIEGER",
            "middle_name": "J",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.