DR. KENNETH B LIBERTY PH.D.
NPI 1124371778
Psychologist - Clinical in Lincoln, ME

Active since October 19, 2012PECOS EnrolledAccepts Medicare Assignment
175 W BROADWAY, LINCOLN, ME 04457(207) 794-6700 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth B Liberty Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH B LIBERTY PH.D. (NPI 1124371778) is an individual clinical provider in Lincoln, Maine, licensed in Maine (PS1359) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1124371778
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENNETH B LIBERTYCredential: PH.D.
Location Address175 W BROADWAYLincoln, ME 04457-4000
Mailing Address175 W BroadwayLincoln, ME 04457-4000 · (207) 794-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 19, 2012
Last NPPES UpdateFebruary 26, 2015
NPI 1124371778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in ME · PS1359
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
175 W BROADWAY, Lincoln, ME 04457

Other Identifiers 1

Other103T00000XME · Anthem Blue Cross

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth B Liberty Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820240112
PECOS Enrollment IDI20121213000188
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.77 typical visit price
range $53.26 – $162.77
Typical copayment $40.69 (range $13.31 – $40.69)
Most-billed visit code 99205
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
175 W BROADWAY
LINCOLN, ME 04457
Family Medicine
175 W BROADWAY
LINCOLN, ME 04457
Nurse Practitioner (Family)
175 W BROADWAY
LINCOLN, ME 04457
Family Medicine
175 W BROADWAY
LINCOLN, ME 04457
Podiatrist (Foot & Ankle Surgery)
175 W BROADWAY
LINCOLN, ME 04457
Dentist (General Practice)
175 W BROADWAY
LINCOLN, ME 04457
Nurse Practitioner (Family)
175 W BROADWAY
LINCOLN, ME 04457
Social Worker (Clinical)
175 W BROADWAY
LINCOLN, ME 04457

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 Kenneth Liberty's NPI number?

The NPI number for Kenneth Liberty is 1124371778. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Where is Kenneth Liberty located?

Kenneth Liberty practices at 175 W Broadway, Lincoln, ME 04457. The listed phone number is (207) 794-6700.

What is Kenneth Liberty's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kenneth Liberty enrolled in Medicare?

Yes. Kenneth Liberty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Liberty accept?

Health plans from Harvard Pilgrim Health Care list Kenneth Liberty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Liberty was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.