Individual provider Active NPI

Kathrine Irene Butler Hepler, PHD

  • Clinical Psychologist
  • Bangor, ME
National Provider Identifier
1730595299
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS1443 Issued in ME
Practice address
9 May St Ste 3
Bangor, ME 04401-6416
Phone
(207) 307-7704
Fax
(207) 573-1108
NPI assigned
Jul 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS1443 ME Primary

Addresses

Primary practice location

9 May St Ste 3
Bangor, ME 04401-6416

Mailing address

9 May St Ste 3
Bangor, ME 04401-6416
Phone (207) 307-7704

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902000640 ME Practitioner - Clinical Psychologist 2961723648 Reassigns benefits to 1 organization
Practice locations: Bangor, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Root and Rise Psychotherapy, LLCGroup PAC ID 8820407729, 3 clinicians

Practice addresses (Care Compare)

9 May St
Suite 3
Bangor, ME 04401-6416
Phone (207) 307-7704

National Provider Directory

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

Organizations & group practices 1

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": "1404604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1730595299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAY ST STE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016416",
            "telephone_number": "207-307-7704",
            "fax_number": "207-573-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAY ST STE 3",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016416",
            "telephone_number": "207-307-7704",
            "fax_number": "207-573-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER HEPLER",
        "first_name": "KATHRINE",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-06",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.