Active NPI
Monique Richard Kahn, PSY.D.
- Psychologist
- Hampden, ME
National Provider Identifier
1689769994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS1005
- Practice address
- 108 Main Rd S
Hampden, ME 04444-1204 - Phone
- (207) 862-2899
- NPI assigned
- Oct 3, 2006
- Last updated
- Apr 21, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS1005 | ME | Primary |
Addresses
Primary practice location
108 Main Rd S
Hampden, ME 04444-1204
Mailing address
108 Main Rd S
Hampden, ME 04444-1204
Phone (207) 862-2899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047300 | Other | ME | ANTHEM BLUE CROSS BL SHLD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS1005 | ME | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1689769994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MAIN RD S",
"city": "HAMPDEN",
"state": "ME",
"postal_code": "044441204",
"telephone_number": "207-862-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 MAIN RD S",
"city": "HAMPDEN",
"state": "ME",
"postal_code": "044441204",
"telephone_number": "207-862-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "MONIQUE",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS1005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BL SHLD",
"identifier": "047300",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hampden, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.