SOUTHWESTERN MAINE CLINICAL ASSOC PA – Psychologist, NPI 1265405385

SOUTHWESTERN MAINE CLINICAL ASSOC PA is a healthcare provider. based in Gorham, Maine. specializing in Psychologist. The organization holds a License No. PS574 (ME). The NPI Number for SOUTHWESTERN MAINE CLINICAL ASSOC PA is 1265405385

Main info

Organization
Name
SOUTHWESTERN MAINE CLINICAL ASSOC PA
NPI
1265405385
Phone
(207) 839-2587
Address
20 MECHANIC ST
Authorized Official
DR. KERRY E KIMBALL CEO EDD
Enumeration Date
9 February 2006
Last Update Date
24 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHWESTERN MAINE CLINICAL ASSOC PA

  • 20, Mechanic Street, Gorham, Cumberland County, Maine, 04038, United States

    GORHAM, ME 04038

    Phone: (207) 839-2587

    Fax: (207) 839-2022

    Type: Location

  • PO BOX 757

    GORHAM, ME 040380757

    Phone: (207) 839-2587

    Fax: (207) 839-2022

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 04038)

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Reviews

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Frequently asked questions

Can I verify SOUTHWESTERN MAINE CLINICAL ASSOC PA with an NPI only?
You can start verification with NPI 1265405385 for SOUTHWESTERN MAINE CLINICAL ASSOC PA, then check state licensing separately.
Does CMS list SOUTHWESTERN MAINE CLINICAL ASSOC PA as active?
Yes — SOUTHWESTERN MAINE CLINICAL ASSOC PA is active in the NPI listing used on this page.
What taxonomy line describes SOUTHWESTERN MAINE CLINICAL ASSOC PA?
For research purposes, treat SOUTHWESTERN MAINE CLINICAL ASSOC PA as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where is SOUTHWESTERN MAINE CLINICAL ASSOC PA based?
SOUTHWESTERN MAINE CLINICAL ASSOC PA is tied to Gorham, Maine in the data we show; additional addresses may exist on the full record.
Is the information about SOUTHWESTERN MAINE CLINICAL ASSOC PA up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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