DR. BARBARA J. MCKIM PH.D. NPI 1740405174

NPI Information

NPI: 1740405174
Provider Name: DR. BARBARA J. MCKIM, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
57 EXCHANGE ST
SUITE # 402
PORTLAND, ME
ZIP 04101
Phone: (207) 774-9615
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DR. Barbara J. Mckim, PH.D. is a clinical neuropsychologist in Portland, ME. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Barbara J. Mckim, PH.D. NPI is 1740405174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

57 EXCHANGE ST
SUITE # 402
PORTLAND, ME
ZIP 04101-000
Phone: (207) 774-9615

The enumeration date for this NPI number is 4/13/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		PS648	MAINE	Yes
2	103T00000X	Psychologist		PS648	MAINE	X
3	103TB0200X	Psychologist	Cognitive & Behavioral	PS648	MAINE	X
4	103TC0700X	Psychologist	Clinical	PS648	MAINE	X
5	103TC2200X	Psychologist	Clinical Child & Adolescent	PS648	MAINE	X
6	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	PS648	MAINE	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	003588	OTHER	ANTHEM
2	069672	OTHER	VALUEOPTIONS
3	MM4662	MEDICARE PIN
4	5031229	OTHER	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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