DR. WENDY N. KJELDGAARD (NPI# 1386704344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386704344 |
| Entity Type | Individual |
| Full Name | DR. WENDY N. KJELDGAARD |
| Credential | PSY.D. |
| Practice Address |
67 Shaker Rd Suite 7 Gray ME 04039-9640 |
| Practice Telephone | 2076577700 |
| Mailing Telephone | 2076577700 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS1238 | ME | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0480000895 | VT | Behavioral Health & Social Service Providers |
| Street Address |
67 SHAKER RD SUITE 7 |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952334021 | Christopher Aaron Counseling Center LLC | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2006-07-09 |
| 1174991681 | Amanda Dibiase | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2015-09-14 |
| 1275923245 | Jeffrey Goodell | Behavioral Analyst | 67 Shaker Rd, Gray, ME 04039-9640 | 2015-01-29 |
| 1316297187 | Jessica Romanoff Burton | Counselor | 67 Shaker Rd, #7, Gray, ME 04039-9640 | 2012-09-19 |
| 1770839615 | Jeffrey Robert Duquette | Social Worker | 67 Shaker Rd, Gray, ME 04039-9640 | 2012-07-30 |
| 1730495094 | Christopher Aaron Counseling Center | Social Worker | 67 Shaker Rd, Ste. 7, Gray, ME 04039-9640 | 2010-08-25 |
| 1821325721 | Catherine E. Schwenk | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2009-11-13 |
| 1174763742 | Alison Lynn Catey | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2009-02-23 |
| 1467691105 | Helen Elaine Richardson | Counselor | 67 Shaker Rd, Gray, ME 04039-9640 | 2009-02-19 |
| 1568533156 | Judith M Rice | Social Worker | 67 Shaker Rd, Suite 10, Gray, ME 04039-9640 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912201658 | Kristy Marie Keefe | Psychologist | 52 Yellow Bird Ln, Gray, KY 40734-6656 | 2011-01-10 |
| 1194173203 | Sandra J Nantz | Psychologist | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1720696586 | Sound Mind Psychology LLC | Psychologist | 110 Main St Ste 1201b, Saco, ME 04072-3516 | 2020-07-17 |
| 1134769391 | Lagom Psychology, Pllc | Psychologist | 106 Lafayette St Ste 2b, Yarmouth, ME 04096-6125 | 2020-01-15 |
| 1952942559 | Andrea J Medaris | Psychologist | 153 Park Row Ste 302, Brunswick, ME 04011-2053 | 2019-10-04 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1841785680 | Joseph Michael Graziadei | Psychologist | 21 Poolside Ln, Biddeford, ME 04005-9466 | 2018-06-25 |
| 1548770332 | Amanda Seirup | Psychologist | 16 Lincoln St Ste C, Brunswick, ME 04011-1900 | 2017-10-05 |
| 1942743679 | Medoptions of Maine, LLC | Psychologist | 45 Memorial Cir, Augusta, ME 04330-6400 | 2016-11-29 |
| 1578019113 | Lydia Ward-gray, Psyd, LLC | Psychologist | 19 South Street, Suite 4, Portland, ME 04101 | 2016-09-01 |
| 1942652656 | Nancy Slobodnik | Psychologist | 1 Va Ctr # 28, Augusta, ME 04330-6719 | 2016-07-06 |
| Find all providers with the same taxonomy | ||||
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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.