Individual provider Active NPI

Kendra L Bryant, PH.D., ABPP-CN

  • Clinical Neuropsychologist
  • Rockport, ME
National Provider Identifier
1962596213
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS1009 Issued in ME
Practice address
220 Union St
Rockport, ME 04856-6104
Phone
(207) 594-2952
NPI assigned
Oct 3, 2006
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
039230OtherMEANTHEM BCBS
209580000MedicaidME

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
I20040810001204 ME Practitioner - Clinical Psychologist 4385616390 Reassigns benefits to 1 organization

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
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

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

LicenseStateTypeSpecialty
PS1009MEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 2, 2026 Accepting new patients
Mainehealth CurrentSince Mar 2, 2026 Accepting new patients
Neuropsychology and Concussion Management Associates LLC Clinical Neuropsychologist CurrentSince Oct 18, 2012 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.

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

Verify at the official NPI Registry.