Kim Rosan Tousignant, PSY.D.,
Individual provider Active NPI Clinical Psychologist · Bucksport, ME
NPI 1992870976 · NPPES record last updated Nov 19, 2014
Key facts
- NPI
- 1992870976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS1257 (ME)
- Practice address
- 151 Main Street
Suite 2
Bucksport, ME 04416 - Phone
- (207) 460-7974
- Fax
- (207) 469-1932
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- 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)
151 Main St
Bucksport, ME 04416-4076
Phone (207) 944-8881
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130913000328 | ME | Practitioner - Clinical Psychologist | 1850535808 | Practice locations: Bucksport, ME |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS1257 | ME | Yes |
Addresses
Primary practice location
151 Main Street
Suite 2
Bucksport, ME 04416
Mailing address
PO Box 1694
Bucksport, ME 04416-1694
Phone (207) 460-7974
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283850000 | Medicaid | ME | |
| 003401401 | Other | ME | MEDICARE PTAN |
| 047415 | Other | ME | ANTHEM |
| 7118205 | Other | ME | AETNA |
Other providers in Bucksport, ME
- Deana A Small
- Elizabeth Archibald Smith
- Angela M Swainson
- Jennifer H Taylor
- Jeff Thibeau
- Town of Bucksport
- Immaculate Amara Ugwumba
- Vancil Vision Care
- Vancil Vision Care
- Jessica Jon Vancil
All providers in Bucksport, ME · Clinical Psychologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.