Kim B. Knowles,PH.D, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS977 Issued in ME

Legal business name

KIM B. KNOWLES,PH.D, LLC

Practice address

15 Pleasant Hill Rd Ste 204
Scarborough, ME 04074-9688

Phone

(207) 799-6166

NPI assigned

Jul 17, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer S Fournier

Title

Manager

Phone

(207) 376-5405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Knowles, PHD

  • Clinical Psychologist
  • Scarborough, ME
  • NPI 1083677975
  Medicare reassignment NPD

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1780939769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2121",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041162121",
            "telephone_number": "207-767-1260",
            "fax_number": "207-375-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PLEASANT HILL RD STE 204",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749688",
            "telephone_number": "207-799-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Shore RD",
            "address_2": "Building #326",
            "address_purpose": "LOCATION",
            "city": "Cape Elizabeth",
            "state": "ME",
            "postal_code": "041071916",
            "country_code": "US",
            "telephone_number": "207-767-1260",
            "fax_number": "207-375-5165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIM B. KNOWLES,PH.D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-376-5405"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Kenny
• Thabo Kenosi, MD
• Christine Kerr, DO
• Judith Camela Kerr, ANPBC
• John David Kidney, LCSW
• Lisa King, LMT
• Samuel G Kingsley, NP
• Stephen J Kirsch, MD
• Karen Kirtani
• Wendy N. Kjeldgaard, PSY.D.

• Psychologist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.