DR. KENDRA L BRYANT (NPI# 1962596213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962596213 |
| Entity Type | Individual |
| Full Name | DR. KENDRA L BRYANT |
| Credential | PH.D., ABPP-CN |
| Practice Address |
120 Tillson Ave Suite 201 Rockland ME 04841-3451 |
| Mailing Address |
Po Box 1084 Rockland ME 04841-1084 |
| Practice Telephone | 2075942952 |
| Mailing Telephone | 2075942952 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS1009 | ME | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PS1009 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 209580000 | 05 | |
| ME | ANTHEM BCBS | 039230 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386957835 | Kendra D Bryant | Licensed Practical Nurse | 921 E. 3rd St., Chattanooga Hamilton County Health Department, Chattanooga, TN 37403 | 2010-07-26 |
| Street Address |
120 TILLSON AVE SUITE 201 |
| City | ROCKLAND |
| State | ME |
| Zip Code | 04841-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588673156 | Andrew F Wisch | Psychologist | 120 Tillson Ave, Suite 201, Rockland, ME 04841-3451 | 2006-08-05 |
| 1881947745 | Neuropsychology and Concussion Management Associates LLC | Clinical Neuropsychologist | 120 Tillson Ave, Rockland, ME 04841-3451 | 2012-10-16 |
| 1497992028 | George Wesley Mele | Counselor | 120 Tillson Ave, Suite 214, Rockland, ME 04841-3344 | 2009-01-20 |
| 1316156979 | Karen Corwin Mook | Psychologist | 120 Tillson Ave, Suite 201, Rockland, ME 04841-3451 | 2007-05-21 |
| 1841418431 | Brian Stahl | Psychologist | 120 Tillson Ave, Rockland, ME 04841-3451 | 2007-04-22 |
| 1669506119 | Richard L Fisher | Psychologist | 120 Tillson Ave, Suite 201, Rockland, ME 04841-3451 | 2007-03-15 |
| 1518014422 | Thomas Michael Buescher | Social Worker | 120 Tillson Ave, Suite 201, Rockland, ME 04841-3451 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780102871 | Rockland Medical Supplies | Durable Medical Equipment & Medical Supplies | 235 Camden St Ste 32 #182, Rockland, ME 04841 | 2017-09-08 |
| 1972927747 | Maryann B. Guernsey | Social Worker | 75 Mechanic St Ste 206e, Rockland, ME 04841 | 2014-02-13 |
| 1235467580 | Arvind Patel | Family Medicine | 166 New County Rd, Rockland, ME 04841 | 2009-11-25 |
| 1134305501 | Wanda Johnson | Social Worker | 91 Camden Street, Suite 206, Rockland, ME 04841 | 2008-01-16 |
| 1336356351 | Lynn T. Lackoff | Occupational Therapist | 116 Tillson Avenue, Knox County Cds, Rockland, ME 04841 | 2007-05-17 |
| 1326250812 | Susan C. Righthand | Psychologist | 120 Tillson Ave., Rockland, ME 04841 | 2007-05-04 |
| 1043437981 | Scott D Archer | Pharmacist | 28 Park St., Rockland, ME 04841 | 2007-04-20 |
| 1770642175 | William Vincent Coppola | Optometrist | 20 Oak St., Rockland, ME 04841 | 2006-12-08 |
| 1407936669 | Mary-ellen Ostherr | Counselor | 17 Masonic Street, Rockland, ME 04841 | 2006-10-16 |
| 1053330910 | David Arthur Theriault | Dentist | 19 Summer Street, Rockland, ME 04841 | 2006-07-19 |
| Find all providers in zip 04841 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881947745 | Neuropsychology and Concussion Management Associates LLC | Clinical Neuropsychologist | 120 Tillson Ave, Rockland, ME 04841-3451 | 2012-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467909168 | Maureen D. Sanford | Clinical Neuropsychologist | 120 Main St Ste 126, Saco, ME 04072-3527 | 2016-09-10 |
| 1033666359 | Rebecca Richards | Clinical Neuropsychologist | 2178 Post Rd Ste 201, Wells, ME 04090-4794 | 2016-09-02 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1770788598 | Austin Louis Errico | Clinical Neuropsychologist | 45 Cunningham Rd, Freeport, ME 04032-6312 | 2007-06-20 |
| 1346457017 | Mark Gregory Kiefner | Clinical Neuropsychologist | 26 Portland Street, Portland, ME 04101 | 2007-05-16 |
| 1184774937 | Melvyn E Attfield | Clinical Neuropsychologist | 225 Commercial Street, Suite #303, Portland, ME 04101 | 2007-01-12 |
| 1174685945 | Christine Barth Ramsay | Clinical Neuropsychologist | 21 Bailey Farm Rd, Freeport, ME 04032-5808 | 2006-12-15 |
| 1821150699 | David A Marks | Clinical Neuropsychologist | 500 Route 1 Ste 26, Yarmouth, ME 04096-4712 | 2006-12-15 |
| 1386706802 | Howard R Kessler | Clinical Neuropsychologist | 500 Us Route 1 Ste 26, Yarmouth, ME 04096 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.