Active NPIIndividual providerSole proprietor

Dr. Kevin Pacifico T Gonzaga, PHD

Psychologist in Augusta, Maine

NPI Number1982373320
Practice location
389 W River RD, Augusta, ME 04330-8144
Fax
207-517-1402
Last updated
August 20, 2026

Kevin Pacifico Tapp Gonzaga is a Psychologist based in Augusta, ME. Kevin Pacifico Tapp Gonzaga practices in Augusta, ME and has the professional credentials of PHD. The NPI Number for Kevin Pacifico Tapp Gonzaga is 1982373320 and holds a License No. PS2607 (ME). The current practice location address for Kevin Pacifico Tapp Gonzaga is 389 W River RD, Augusta, ME 04330-8144 and can be reached out via phone at 207-816-8043 and via fax at 207-517-1402.

Provider Profile Details

NPI Number
1982373320
Provider Name
Kevin Pacifico Tapp Gonzaga
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
389 W River RD, Augusta, ME 04330-8144
Phone Number
207-816-8043
Fax Number
207-517-1402
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 9, 2021
Last Update Date
August 20, 2026
Certification Date
August 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
389 W River RD
Augusta, ME 04330-8144
State
Maine
Zip
04330-8144
Phone Number
207-816-8043
Fax Number
207-517-1402
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
12 Crossing Way
Suite 3 #1047
Augusta, ME 04330
City
Augusta
State
ME
Zip
04330
Phone Number
207-816-8043
Fax Number
207-517-1402

License Information

License Number
PS2607
License State
ME
Taxonomy
Psychologist · 103T00000X · 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. Kevin Pacifico T Gonzaga, PHD?

The NPI number of Dr. Kevin Pacifico T Gonzaga, PHD is 1982373320. It was assigned on September 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin Pacifico T Gonzaga, PHD?

Dr. Kevin Pacifico T Gonzaga, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in ME under license number PS2607.

Where does Dr. Kevin Pacifico T Gonzaga, PHD practice?

The practice location is 389 W River RD, Augusta, ME 04330-8144. The office can be reached at 207-816-8043 (phone) or 207-517-1402 (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 1982373320 directly on the NPPES registry website.

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