KIM B. KNOWLES,PH.D, LLC
NPI 1780939769
Psychologist in Scarborough, ME

Active since July 17, 2012
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074(207) 799-6166 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2025, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Kim B. Knowles,ph.d, Llc NPPES

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

KIM B. KNOWLES,PH.D, LLC (NPI 1780939769) is a healthcare organization registered as a psychologist in Scarborough, Maine and active in the NPI registry since July 2012. The organization maintains a secondary practice location in Cape Elizabeth and lists Jennifer S Fournier, Manager, as its authorized official.

NPPES Registry Identity

NPI1780939769
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameKIM B. KNOWLES,PH.D, LLC
Location Address15 PLEASANT HILL RD STE 204Scarborough, ME 04074-9688
Mailing AddressPo Box 2121South Portland, ME 04116-2121 · (207) 767-1260 · Fax (207) 375-5165
Organization SubpartNo
Authorized OfficialJennifer S FournierManager · (207) 376-5405
Enumeration DateJuly 17, 2012
Last NPPES UpdateSeptember 19, 20255 updates tracked since enumeration
✔ NPI 1780939769 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 · PS977
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.
15 PLEASANT HILL RD STE 204, Scarborough, ME 04074

Secondary Practice Location 1

Location 11000 Shore RD, Building #326Cape Elizabeth, ME 04107-1916 · Phone (207) 767-1260 · Fax (207) 375-5165

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim B. Knowles,ph.d, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMaineEnrollment IDO20120820000201Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kim B. Knowles,ph.D, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1083677975
15 PLEASANT HILL RD STE 204
Scarborough, ME 04074
(207) 799-6166
✔ PECOS✔ Accepts MedicareSame address

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

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 Kim B. Knowles,ph.D, LLC's NPI number?

The NPI number for Kim B. Knowles,ph.D, LLC is 1780939769. It was assigned to this organization in the NPPES registry on July 17, 2012.

Where is Kim B. Knowles,ph.D, LLC located?

Kim B. Knowles,ph.D, LLC is located at 15 Pleasant Hill Rd Ste 204, Scarborough, ME 04074. The listed phone number is (207) 799-6166.

What is Kim B. Knowles,ph.D, LLC's specialty?

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

Is Kim B. Knowles,ph.D, LLC enrolled in Medicare?

Yes. Kim B. Knowles,ph.D, LLC is registered in the Medicare PECOS enrollment system.

When is Kim B. Knowles,ph.D, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maine, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kim B. Knowles,ph.D, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kim B. Knowles,ph.D, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kim B. Knowles,ph.D, LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.