Active NPI
Kristen Anne Woodberry, PHD
- Psychologist
- Portland, ME
National Provider Identifier
1922279827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS1540
- Practice address
- 66 Bramhall St
Portland, ME 04102-3344 - Phone
- (207) 662-2221
- Fax
- (207) 662-6348
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 | PS1540 | ME | Primary |
Addresses
Primary practice location
66 Bramhall St
Portland, ME 04102-3344
Mailing address
66 Bramhall St
Portland, ME 04102-3344
Phone (207) 662-2221
Other practice location 1
216 Vaughan St
Portland, ME 04102-3204
Phone (207) 662-2221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70010000P08174 | Other | MA | BCBSMA PROVIDER LEGACY |
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Brattle Center, P.C. | Psychologist | Past | Accepting new patients |
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": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1922279827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023344",
"telephone_number": "207-662-2221",
"fax_number": "207-662-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023344",
"telephone_number": "207-662-2221",
"fax_number": "207-662-6348"
}
],
"practiceLocations": [
{
"address_1": "216 Vaughan St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023204",
"country_code": "US",
"telephone_number": "207-662-2221",
"fax_number": "207-810-2367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODBERRY",
"first_name": "KRISTEN",
"middle_name": "ANNE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS1540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA PROVIDER LEGACY",
"identifier": "70010000P08174",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.