Neuropsychology and Concussion Management Associates LLC
Organization Active NPI Clinical Neuropsychologist · Rockport, ME
NPI 1881947745 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1881947745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- PS1009 (ME)
- Legal business name
- NEUROPSYCHOLOGY AND CONCUSSION MANAGEMENT ASSOCIATES LLC
- Practice address
- 220 Union St
Rockport, ME 04856-6104 - Phone
- (207) 594-2952
- Fax
- (888) 714-5185
- NPI assigned
- Oct 16, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Kendra L Bryant, PH.D., ABPP-CN
- Title
- Sole Member
- Phone
- (207) 594-2952
Practitioners 5
-
Brittany Angela Bomil, PSYD
-
Kendra L Bryant, PH.D., ABPP-CN
-
Jamie Lynn Evans, LCMHC
-
Lora L Stanchfield, PH D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME, NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121227000038 | ME | Part B Supplier - Clinic/Group Practice | 0345493383 |
Receives reassigned benefits from 2 practitioners Practice locations: Auburn, ME; Rockport, ME |
| O20250805002501 | NH | Part B Supplier - Clinic/Group Practice | 0345493383 |
Receives reassigned benefits from 1 practitioner Practice locations: Rochester, NH |
National Provider Directory
Locations
120 Tillson Ave
Rockland, ME 04841
Phone (205) 594-7880
220 Union St
Rockport, ME 04856
Phone (207) 594-2952
50 Industrial Way
Unit 210
Rochester, NH 03867
Phone (207) 594-2952
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | PS1009 | ME | Yes |
Addresses
Primary practice location
220 Union St
Rockport, ME 04856-6104
Mailing address
PO Box 1084
Rockland, ME 04841-1084
Phone (207) 594-2952
Other practice location 1
35 Industrial Way Ste 210
Rochester, NH 03867-6203
Phone (207) 594-2952
Other providers in Rockport, ME
- Angelica G Mushenko
- Ashley E Mychak
- Jennifer O Mytar
- Barbara Nadeau
- Emily Ann Nelson
- Colt James Neyrey
- Kara Devanna Norcia
- Mohan Nuthakki
- Timothy C O'Brien
- Thomas J. O'Connor III
All providers in Rockport, ME · Clinical Neuropsychologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.