MARK GREGORY KIEFNER


Address: 26 Portland Street, Portland, ME 04101
Phone: 2077618402

MARK GREGORY KIEFNER (NPI# 1346457017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346457017
Entity Type Individual
Full Name MARK GREGORY KIEFNER
Credential PHD
Practice Address 26 Portland Street
Portland
ME 04101
Mailing Address Po Box 8600
Portland
ME 04104
Practice Telephone 2077618402
Practice Fax Number 2077618405
Mailing Telephone 2077746323
Mailing Fax Number 2077618460
Enumeration Date 2007-05-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PS815 ME Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME ANTHEM 010593 01

Office Location

Street Address 26 PORTLAND STREET
City PORTLAND
State ME
Zip Code 04101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992905087 Karen S Chadbourne Social Worker 26 Portland Street, Portland, ME 04101 2007-07-18
1780891481 Stephen Raymond Small Physical Therapist 26 Portland Street, Portland, ME 04101 2007-05-16
1750598421 Erin Adams Rowan Occupational Therapist 26 Portland Street, Portland, ME 04101 2007-05-16
1972710655 Laurie Jean Berrier Recreation Therapist 26 Portland Street, Portland, ME 04101 2007-05-16
1508073289 Joyce O Messier Licensed Practical Nurse 26 Portland Street, Portland, ME 04101 2007-05-16
1104033885 Alison Reuter Mccue Registered Nurse 26 Portland Street, Portland, ME 04101 2007-05-16
1093922767 Maegan Leigh Laplante Recreation Therapist 26 Portland Street, Portland, ME 04101 2007-05-16
1629285390 Faith L Moritz Occupational Therapist 26 Portland Street, Portland, ME 04101 2007-05-16
1760699441 David Emery Dubay Social Worker 26 Portland Street, Portland, ME 04101 2007-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
Find all providers in zip 04101

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801098090 Nancy Loss Clinical Neuropsychologist 2223 Ne 47th Avenue, Portland, OR 97213 2007-06-01
1184774937 Melvyn E Attfield Clinical Neuropsychologist 225 Commercial Street, Suite #303, Portland, ME 04101 2007-01-12
1437215712 Patrice Deidre Carrello Clinical Neuropsychologist 2354 Se 59th Ave, Portland, OR 97215-4018 2006-12-29
1386722247 Donald Edward Lange Clinical Neuropsychologist 8040 Sw Capitol Hill Rd, Portland, OR 97219-2670 2006-11-01
1497831713 James (jim) Charles Johnson Clinical Neuropsychologist 516 Se 71st Ave, Portland, OR 97215-2132 2006-10-29
1245327501 Julia Ann Wong-ngan Clinical Neuropsychologist 205 Se Spokane St Ste 300, Portland, OR 97202-6487 2006-10-06
1295820389 Nadia E. Webb Clinical Neuropsychologist 1631 Ne Broadway Street. No. 237, Portland, OR 97232 2006-10-04
1720094477 Thomas G Miller Clinical Neuropsychologist 86 Dartmouth St, Portland, ME 04103-4808 2006-08-01
1811923246 Dawn Wilkinson Clinical Neuropsychologist 458 N Broadway, Suite B, Portland, TN 37148-1767 2006-06-25
1043257058 Richard Kolbell Clinical Neuropsychologist 1923 Ne Broadway, Portland, OR 97232-1501 2006-05-31
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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