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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | PS815 | ME | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | ANTHEM | 010593 | 01 |
Street Address |
26 PORTLAND STREET |
City | PORTLAND |
State | ME |
Zip Code | 04101 |
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 |
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 Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
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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.