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KERRY KIMBALL E.D.D
NPI 1770768921
Psychologist - Clinical in Gorham, ME

Active since January 07, 2008
20 MECHANIC ST, GORHAM, ME 04038(207) 839-2587(207) 839-6469 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kerry Kimball E.d.d NPPES

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

KERRY KIMBALL E.D.D (NPI 1770768921) is an individual clinical provider in Gorham, Maine, licensed in Maine (PS574) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1770768921
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKERRY KIMBALLCredential: E.D.D
Location Address20 MECHANIC STGorham, ME 04038-1560
Mailing AddressPo Box 757Gorham, ME 04038-0757 · (207) 839-2587 · Fax (207) 839-6469
Phone(207) 839-2587
Fax(207) 839-6469
Sole ProprietorNo
Enumeration DateJanuary 7, 2008
Last NPPES UpdateApril 17, 2008
✔ NPI 1770768921 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 · PS574
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.
20 MECHANIC ST, Gorham, ME 04038
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Other Identifiers 1

Medicare PINMM0548ME

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.

DEBORAH J DEVINE PSYD, PA
Psychologist
20 MECHANIC ST
GORHAM, ME 04038
Cumberland County (207) 839-2450
SOUTHWESTERN MAINE CLINICAL ASSOC PA
Psychologist
20 MECHANIC ST
GORHAM, ME 04038
Cumberland County (207) 839-2587
THE MAINE CHATTERBOX, LLC
Early Intervention Provider Agency
20 MECHANIC ST, SUITE 3A
GORHAM, ME 04038
Cumberland County (207) 356-9537
DR. DEBORAH JEAN DEVINE PSYD
Psychologist
20 MECHANIC ST
GORHAM, ME 04038
Cumberland County (207) 839-2450

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 Kerry Kimball's NPI number?

The NPI number for Kerry Kimball is 1770768921. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Where is Kerry Kimball located?

Kerry Kimball practices at 20 Mechanic St, Gorham, ME 04038. The listed phone number is (207) 839-2587.

What is Kerry Kimball's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerry Kimball was last updated on April 17, 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.