Kevin Pacifico Tapp Gonzaga, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS2607 Issued in ME

Practice address

389 W River Rd
Augusta, ME 04330-8144

Phone

(207) 816-8043

Fax

(207) 517-1402

NPI assigned

Sep 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• North Star Kapwa Counseling

  • Clinical Psychologist
  • Augusta, ME
  • NPI 1649105750
  NPD Authorized official
• Psychology Specialists of Maine

  • Counseling Psychologist
  • Brunswick, ME
  • NPI 1326571241
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1982373320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CROSSING WAY",
            "address_2": "SUITE 3 #1047",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-816-8043",
            "fax_number": "207-517-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 W RIVER RD",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308144",
            "telephone_number": "207-816-8043",
            "fax_number": "207-517-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZAGA",
        "first_name": "KEVIN PACIFICO",
        "middle_name": "TAPP",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maroulla Gleaton, M.D.
• Aimee Jean Glidden
• Nadine Grace Glidden, LMSW-CC
• Cheryl Godbey, NP
• Jaclyn Goldberg
• Debra Ann Gonzalez, MD
• Sara T Gooch, SLP
• Ronald L. Goodheart, RPH
• Katherine Ruth Goodwin, NP
• Ashley Gooldrup

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.