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

Q: 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.

Q: What is Kenneth Liberty's specialty?

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

Q: 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.

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: November 01, 2026.

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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

Phone(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

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Other Identifiers 1

Other103T00000XME · Anthem Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Kenneth Liberty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Occupational Exchange, Inc

39 mi

Psychologist

444 STILLWATER AVE STE 210
Bangor, ME 04401

Reassigned Medicare billing, Maine enrollment
7 clinicians in this Medicare group

NPI 1427002138 (207) 942-3816

Sweetser

159 mi

Mental Health (Including Community Mental Health Center)

50 MOODY STREET
Saco, ME 04072

Reassigned Medicare billing, Maine enrollment
200 clinicians in this Medicare group

NPI 1538122445 (800) 434-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. TAMMY SUE WEBB P.A.

Physician Assistant