KIMBERLY HENDERSON-KJELLEN (PSYD) – Clinical Psychologist, NPI 1417044165
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
586 CLINICAL PSYCHOLOGIST in CT
Provider Addresses for KIMBERLY HENDERSON-KJELLEN (PSYD)
33 Highland Street
New Britain General Hospital Substance Abuse Services
New Britain, CT 06052
Phone: (860) 224-9985
Fax: (860) 826-4995
Type: Location
55 Town Line Rd
Wethersfield, CT 061094352
Phone: (860) 757-3702
Type: Location
1097, Farmington Avenue, Kensington, Berlin, Hartford County, Connecticut, 06037, United States
BERLIN, CT 060372241
Phone: (860) 836-7553
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090128000524 | I | Clinical Psychologist | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06052)
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