KIMBERLY HENDERSON-KJELLEN PSYD
NPI 1417044165
Psychologist - Clinical in Berlin, CT
About Kimberly Henderson-kjellen Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY HENDERSON-KJELLEN PSYD (NPI 1417044165) is an individual clinical provider in Berlin, Connecticut, licensed in Connecticut (002808) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Kimberly Henderson-kjellen Psyd 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BERLIN, CT 06037
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 Kimberly Henderson-kjellen's NPI number?
The NPI number for Kimberly Henderson-kjellen is 1417044165. It was assigned to this individual provider in the NPPES registry on October 6, 2006.
Where is Kimberly Henderson-kjellen located?
Kimberly Henderson-kjellen practices at 1097 Farmington Ave, Berlin, CT 06037. The listed phone number is (860) 836-7553.
What is Kimberly Henderson-kjellen's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kimberly Henderson-kjellen enrolled in Medicare?
Yes. Kimberly Henderson-kjellen 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 Kimberly Henderson-kjellen accept?
Health plans from Providence Health Plan list Kimberly Henderson-kjellen 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 Kimberly Henderson-kjellen was last updated on March 17, 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.
# Kimberly Henderson-Kjellen, PSYD · NPI 1417044165
Clinical provider in Berlin, Connecticut. Individual provider, active in the CMS NPPES registry since October 6, 2006.
## Identity
- **NPI:** 1417044165 (Entity type: Individual)
- **Enumerated:** October 6, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 002808 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1097 FARMINGTON AVE, Berlin, CT 06037-2241
- **Phone:** (860) 836-7553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 17, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1417044165) · Data from the CMS NPPES public registry.