Active NPI
Kendra L Bryant, PH.D., ABPP-CN
- Clinical Neuropsychologist
- Rockport, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS1009
- Practice address
- 220 Union St
Rockport, ME 04856-6104 - Phone
- (207) 594-2952
- NPI assigned
- Oct 3, 2006
- Last updated
- Oct 15, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS1009 | ME | Primary |
| Psychologist | 103T00000X | PS1009 | ME |
Addresses
Primary practice location
220 Union St
Rockport, ME 04856-6104
Mailing address
PO Box 1145
Rockport, ME 04856-1145
Other practice location 1
4 Glen Cove Dr Ste 201
Rockport, ME 04856-4238
Phone (207) 301-5757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039230 | Other | ME | ANTHEM BCBS |
| 209580000 | Medicaid | ME |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
4 Glen Cove Dr
Suite 201
Rockport, ME 04856-4238
Phone (207) 921-5678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS1009 | ME | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Neuropsychology and Concussion Management Associates LLC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
120 Tillson Ave
Ste 201
Rockland, ME 04841
Phone (207) 594-1938
220 Union St
Rockport, ME 04856
Phone (207) 594-2952
4 Glen Cove Dr
Ste 201
Rockport, ME 04856
Phone (207) 301-5757
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Neuropsychologist
- Rockport, ME
- NPI 1881947745
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatrics Physician
- Falmouth, ME
- NPI 1629382601
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": "1760486400000",
"number": "1962596213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1145",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048561145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 UNION ST",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048566104",
"telephone_number": "207-594-2952"
}
],
"practiceLocations": [
{
"address_1": "4 Glen Cove Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Rockport",
"state": "ME",
"postal_code": "048564238",
"country_code": "US",
"telephone_number": "207-301-5757",
"fax_number": "207-301-5357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "KENDRA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP-CN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "ME",
"license": "PS1009",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS1009",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "039230",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209580000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.