SOUTHWESTERN MAINE CLINICAL ASSOC PA
NPI 1265405385
Psychologist in Gorham, ME

Active since February 09, 2006
20 MECHANIC ST, GORHAM, ME 04038(207) 839-2587(207) 839-2022 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southwestern Maine Clinical Assoc Pa NPPES

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

SOUTHWESTERN MAINE CLINICAL ASSOC PA (NPI 1265405385) is a healthcare organization registered as a psychologist in Gorham, Maine and active in the NPI registry since February 2006. The organization lists Kerry E Kimball, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265405385
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSOUTHWESTERN MAINE CLINICAL ASSOC PA
Location Address20 MECHANIC STGorham, ME 04038
Mailing AddressPo Box 757Gorham, ME 04038-0757 · (207) 839-2587 · Fax (207) 839-2022
Fax(207) 839-2022
Organization SubpartNo
Authorized OfficialKerry E KimballCeo · (207) 839-2587
Enumeration DateFebruary 9, 2006
Last NPPES UpdateApril 24, 2008
NPI 1265405385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ME · PS574
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
20 MECHANIC ST, Gorham, ME 04038

Other Identifiers 2

Medicaid125580000ME
Medicare UPINMM5243ME

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Psychologist
20 MECHANIC ST
GORHAM, ME 04038
Early Intervention Provider Agency
20 MECHANIC ST, SUITE 3A
GORHAM, ME 04038
Psychologist (Clinical)
20 MECHANIC ST
GORHAM, ME 04038
Psychologist
20 MECHANIC ST
GORHAM, ME 04038

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 Southwestern Maine Clinical Assoc PA's NPI number?

The NPI number for Southwestern Maine Clinical Assoc PA is 1265405385. It was assigned to this organization in the NPPES registry on February 9, 2006.

Where is Southwestern Maine Clinical Assoc PA located?

Southwestern Maine Clinical Assoc PA is located at 20 Mechanic St, Gorham, ME 04038. The listed phone number is (207) 839-2587.

What is Southwestern Maine Clinical Assoc PA's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Southwestern Maine Clinical Assoc PA was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.