DR. KEVIN LEE POLK (NPI# 1578719969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578719969 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LEE POLK |
| Credential | PH.D. |
| Practice Address |
93 Second St Hallowell ME 04347-1450 |
| Practice Telephone | 2076217776 |
| Mailing Telephone | 2076211776 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS756 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376184820 | Kevin Polk | Marriage & Family Therapist | 350 Bourbon St, Springfield, IL 62707-2702 | 2019-10-07 |
| Street Address |
93 SECOND ST |
| City | HALLOWELL |
| State | ME |
| Zip Code | 04347-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245275700 | Katherine A Brough | Social Worker | 93 Second St, Hallowell, ME 04347-1450 | 2006-06-18 |
| 1831526037 | Hildy Lynn Curato | Social Worker | 93 Second St, Hallowell, ME 04347-1450 | 2013-10-02 |
| 1023259959 | The Brain Clinic of Central Maine, LLC | Clinic/Center | 93 Second St, Hallowell, ME 04347-1450 | 2009-03-24 |
| 1992828628 | Mary Alyce Burkhart | Psychologist | 93 Second St, Hallowell, ME 04347-1450 | 2007-04-09 |
| 1487732889 | Barda L. Leavitt | Psychologist | 93 Second St, Hallowell, ME 04347-1450 | 2006-11-02 |
| 1568548881 | Neil Brian Colan | Psychologist | 93 Second St, Hallowell, ME 04347-1450 | 2006-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903443 | Olivia Rose Gorneau | Massage Therapist | 128 Second Street, Hallowell, ME 04347 | 2019-10-11 |
| 1336662451 | Thomas Jeffrey Benn | Social Worker | 276 Whitten Road, Suite # 2, Hallowell, ME 04347 | 2017-07-20 |
| 1275766792 | Regional School Unit 2 | Local Education Agency (LEA) | 7 Reed Street, Hallowell, ME 04347 | 2009-09-01 |
| 1780897595 | Maine School Administrative District #16 (msad #16) | Local Education Agency (LEA) | 7 Reed St, Hallowell, ME 04347 | 2007-05-08 |
| 1275672032 | Patricia Ferullo Halperin | Social Worker | 116 Second Street, #1, Hallowell, ME 04347 | 2007-02-06 |
| 1427145994 | Hallowell Family Practice LLC | Family Medicine | 9 Union Street, Hallowell, ME 04347 | 2006-10-06 |
| 1871686329 | Lori Green-stade | Counselor | 52 Water Street, Hallowell, ME 04347 | 2006-10-02 |
| 1750473138 | Jeanette C Jones | Occupational Therapist | 71 Water St, #34, Hallowell, ME 04347 | 2006-09-29 |
| 1861408700 | Cathy Jeanne Cumler-dennis | Social Worker | 6 Stoddard Ln, Hallowell, ME 04347 | 2006-07-31 |
| 1851376065 | Nathan Richard Murray-james | Family Medicine | 9 Union St, Hallowell, ME 04347 | 2005-12-09 |
| Find all providers in zip 04347 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992828628 | Mary Alyce Burkhart | Psychologist | 93 Second St, Hallowell, ME 04347-1450 | 2007-04-09 |
| 1548339294 | Kathy Laighton Harvey | Psychologist | 6 Stoddard Ln, Hallowell, ME 04347-1429 | 2006-11-07 |
| 1487732889 | Barda L. Leavitt | Psychologist | 93 Second St, Hallowell, ME 04347-1450 | 2006-11-02 |
| 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.