Christina Emer Kilgallen, PH.D.
Individual provider Active NPI Psychologist · New Gloucester, ME
NPI 1629360235 · NPPES record last updated May 15, 2011
Key facts
- NPI
- 1629360235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS1310 (ME)
- Practice address
- 41 Pineland Dr
Suite 200
New Gloucester, ME 04260-5111 - Phone
- (207) 688-2253
- NPI assigned
- May 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS1310 | ME | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Special Education Mental Health Col | Past | Accepting new patients | |
| Maine Special Education Mental Health Collaborative | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS1310 | ME | Yes |
Addresses
Primary practice location
41 Pineland Dr
Suite 200
New Gloucester, ME 04260-5111
Mailing address
41 Pineland Dr
Suite 200
New Gloucester, ME 04260-5111
Phone (207) 688-2253
Other providers in New Gloucester, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.