- Practice location
- 64 Church St, Ellsworth, ME 04605-1658
- Phone
- 207-669-6011
- Fax
- 207-669-6011
- Last updated
- July 9, 2007
Kenneth A. Beattie is a Psychologist, Clinical based in Ellsworth, ME. Kenneth A. Beattie practices in Ellsworth, ME and has the professional credentials of PHD. The NPI Number for Kenneth A. Beattie is 1023032869 and holds a License No. PS1018 (ME). The current practice location address for Kenneth A. Beattie is 64 Church St, Ellsworth, ME 04605-1658 and can be reached out via phone at 207-669-6011 and via fax at 207-669-6011.
Provider Profile Details
- NPI Number
- 1023032869
- Provider Name
- Kenneth A. Beattie
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 64 Church St, Ellsworth, ME 04605-1658
- Phone Number
- 207-669-6011
- Fax Number
- 207-669-6011
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 26, 2006
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Church St
Ellsworth, ME 04605-1658 - City
- Ellsworth
- State
- Maine
- Zip
- 04605-1658
- Phone Number
- 207-669-6011
- Fax Number
- 207-669-6011
Provider Business Mailing Address Details
- Address
- 94 Mill St
Orono, ME 04473-4040 - City
- Orono
- State
- ME
- Zip
- 04473-4040
- Phone Number
- 207-669-6011
- Fax Number
- 207-669-6011
License Information
- License Number
- PS1018
- License State
- ME
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Ellsworth, ME
View all Psychologist, Clinical providers in Ellsworth →Frequently Asked Questions
What is the NPI number of Dr. Kenneth A Beattie, PHD?
The NPI number of Dr. Kenneth A Beattie, PHD is 1023032869. It was assigned on July 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Kenneth A Beattie, PHD?
Dr. Kenneth A Beattie, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in ME under license number PS1018.
Where does Dr. Kenneth A Beattie, PHD practice?
The practice location is 64 Church St, Ellsworth, ME 04605-1658. The office can be reached at 207-669-6011 (phone) or 207-669-6011 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023032869 directly on the NPPES registry website.