KATHLEEN F NYBORG PH.D.
NPI 1659413680
Psychologist in Ellsworth, ME

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
210 MAIN ST, ELLSWORTH, ME 04605(207) 667-3795 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen F Nyborg Ph.d. NPPES

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

KATHLEEN F NYBORG PH.D. (NPI 1659413680) is an individual psychologist in Ellsworth, Maine, licensed in Maine (PS585) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1659413680
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHLEEN F NYBORGCredential: PH.D.
Location Address210 MAIN STEllsworth, ME 04605
Mailing AddressPo Box 151Sullivan, ME 04664 · (207) 667-3795
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMarch 11, 2015
NPI 1659413680 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 · PS585
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.
210 MAIN ST, Ellsworth, ME 04605

Other Names 1

Professional Name (2)Kathy F. Nyborg Ph.d.

Other Identifiers 3

Medicaid223660000ME
OtherX0298ME · Anthem Bc Bs
Medicare ID-Type UnspecifiedMM3065ME

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

Kathleen F Nyborg 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 ID3577507409
PECOS Enrollment IDI20050613000394
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.

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
210 MAIN ST, SUITE 2
ELLSWORTH, ME 04605
Social Worker (Clinical)
210 MAIN ST
ELLSWORTH, ME 04605
Social Worker (Clinical)
210 MAIN ST
ELLSWORTH, ME 04605

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 Kathleen Nyborg's NPI number?

The NPI number for Kathleen Nyborg is 1659413680. It was assigned to this individual provider in the NPPES registry on February 13, 2007. The provider is also known as Kathy F. Nyborg Ph.D..

Where is Kathleen Nyborg located?

Kathleen Nyborg practices at 210 Main St, Ellsworth, ME 04605. The listed phone number is (207) 667-3795.

What is Kathleen Nyborg's specialty?

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

Is Kathleen Nyborg enrolled in Medicare?

Yes. Kathleen Nyborg 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.

When was this NPI record last updated?

The NPPES record for Kathleen Nyborg was last updated on March 11, 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.