Kim Rosan Tousignant, PSY.D.,

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1257 Issued in ME

Practice address

151 Main Street
Suite 2
Bucksport, ME 04416

Phone

(207) 460-7974

Fax

(207) 469-1932

NPI assigned

Nov 22, 2006

Last updated

Nov 19, 2014By the provider in NPPES

Sex

Female

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

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1992870976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1694",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "044161694",
            "telephone_number": "207-460-7974",
            "fax_number": "207-469-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MAIN STREET",
            "address_2": "SUITE 2",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "04416",
            "telephone_number": "207-460-7974",
            "fax_number": "207-469-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSIGNANT",
        "first_name": "KIM",
        "middle_name": "ROSAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deana A Small, M.S.
• Elizabeth Archibald Smith, OTRL
• Angela M Swainson, OTR/L
• Jennifer H Taylor
• Jeff Thibeau
• Town of Bucksport
• Immaculate Amara Ugwumba
• Vancil Vision Care
• Vancil Vision Care
• Jessica Jon Vancil, OD

• Clinical Psychologist in Bucksport, ME
• Providers in Bucksport, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.

Verify at the official NPI Registry.