PSYCHOLOGICAL SERVICES OF KENSINGTON, LLC
NPI 1073012597
Clinic/Center - Mental Health (Including Community Mental Health Center) in Berlin, CT
About Psychological Services Of Kensington, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PSYCHOLOGICAL SERVICES OF KENSINGTON, LLC (NPI 1073012597) is a healthcare organization registered as a mental health (including community mental health center) in Berlin, Connecticut and active in the NPI registry since February 2018. The organization lists Kimberly Henderson-kjellen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Psychological Services Of Kensington, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Psychological Services Of Kensington, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Psychological Services Of Kensington, LLC's NPI number?
The NPI number for Psychological Services Of Kensington, LLC is 1073012597. It was assigned to this organization in the NPPES registry on February 10, 2018.
Where is Psychological Services Of Kensington, LLC located?
Psychological Services Of Kensington, LLC is located at 1097 Farmington Ave, Berlin, CT 06037. The listed phone number is (860) 836-7553.
What is Psychological Services Of Kensington, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Psychological Services Of Kensington, LLC enrolled in Medicare?
Yes. Psychological Services Of Kensington, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Psychological Services Of Kensington, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Psychological Services Of Kensington, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Psychological Services Of Kensington, LLC was last updated on February 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Psychological Services Of Kensington, Llc · NPI 1073012597
Mental Health (Including Community Mental Health Center) organization in Berlin, Connecticut. Organization record, active in the CMS NPPES registry since February 10, 2018.
## Identity
- **NPI:** 1073012597 (Entity type: Organization)
- **Enumerated:** February 10, 2018
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kimberly Henderson-Kjellen, OWNER
## Practice location
- **Address:** 1097 FARMINGTON AVE, Berlin, CT 06037-2241
- **Phone:** (860) 836-7553
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1073012597) · Data from the CMS NPPES public registry.