Individual provider Active NPI

Katherin A Rockefeller, M.D.

  • Child & Adolescent Psychiatry Physician
  • Portland, ME
National Provider Identifier
1639463896
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD21641 Issued in ME
Practice address
10 Free St FL 2
Portland, ME 04101-4865
Phone
(207) 200-7860
Fax
(207) 407-7192
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD21641 ME Primary
Psychiatry Physician 2084P0800X MD21641 ME

Addresses

Primary practice location

10 Free St FL 2
Portland, ME 04101-4865

Mailing address

10 Free St FL 2
Portland, ME 04101-4865
Phone (207) 200-7860

Other practice location 1

235 Main St
Biddeford, ME 04005-2411
Phone (207) 283-7660

Other practice location 2

123 Andover Rd
Westbrook, ME 04092-3848
Phone (207) 761-2200

Other names 1

  • Katherin Anne Adikes Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010002161 ME Practitioner - Psychiatry 6103130638 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21641MEMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 5, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jan 5, 2019 Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

235 Main St
Biddeford, ME 04005
Phone (207) 283-7660

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

78 Atlantic Pl
South Portland, ME 04106
Phone (207) 661-6654

236 Gannett Dr
South Portland, ME 04106
Phone (207) 661-3600

123 Andover Rd
Westbrook, ME 04092
Phone (207) 761-2200

Interoperability endpoints

  • Direct secure messaging: krockefeller122185@direct.mmc.mainehealth.org

Organizations & group practices 5

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1639463896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FREE ST FL 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014865",
            "telephone_number": "207-200-7860",
            "fax_number": "866-496-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FREE ST FL 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014865",
            "telephone_number": "207-200-7860",
            "fax_number": "207-407-7192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Main St",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040052411",
            "country_code": "US",
            "telephone_number": "207-283-7660",
            "fax_number": "207-283-7664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Andover Rd",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040923848",
            "country_code": "US",
            "telephone_number": "207-761-2200",
            "fax_number": "207-761-2108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCKEFELLER",
        "first_name": "KATHERIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "MD21641",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD21641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERIN",
            "last_name": "ADIKES",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.