Active NPIIndividual providerSole proprietor

Dr. Kenneth C Elliott, PHD

Psychologist, Clinical in Mount Vernon, Maine

NPI Number1245445139
Practice location
15 Bowen Mt RD, Mount Vernon, ME 04352-3110
Fax
—
Last updated
July 8, 2007

Kenneth Cass Elliott is a Psychologist, Clinical based in Mount Vernon, ME. Kenneth Cass Elliott practices in Mount Vernon, ME and has the professional credentials of PHD. The NPI Number for Kenneth Cass Elliott is 1245445139 and holds a License No. PS580 (ME). The current practice location address for Kenneth Cass Elliott is 15 Bowen Mt RD, Mount Vernon, ME 04352-3110 and can be reached out via phone at 207-621-3229.

Provider Profile Details

NPI Number
1245445139
Provider Name
Kenneth Cass Elliott
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
15 Bowen Mt RD, Mount Vernon, ME 04352-3110
Phone Number
207-621-3229
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 14, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Bowen Mt RD
Mount Vernon, ME 04352-3110
State
Maine
Zip
04352-3110
Phone Number
207-621-3229
Mount Vernon, ME 04352Get directions →

Provider Business Mailing Address Details

Address
15 Bowen Mt RD
Mount Vernon, ME 04352-3110
City
Mount Vernon
State
ME
Zip
04352-3110
Phone Number
207-621-3229

License Information

License Number
PS580
License State
ME
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kenneth C Elliott, PHD?

The NPI number of Dr. Kenneth C Elliott, PHD is 1245445139. It was assigned on May 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth C Elliott, PHD?

Dr. Kenneth C Elliott, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in ME under license number PS580.

Where does Dr. Kenneth C Elliott, PHD practice?

The practice location is 15 Bowen Mt RD, Mount Vernon, ME 04352-3110. The office can be reached at 207-621-3229 (phone).

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 1245445139 directly on the NPPES registry website.

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