Kimberly Henderson-kjellen, PSYD in Berlin, CT - Medicare Clinical Psychologist Provider

Kimberly Henderson-kjellen, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Berlin, Connecticut. She graduated from medical school in 2002 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 1097 Farmington Ave, Berlin, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 836-7553.

Kimberly Henderson-kjellen is licensed to practice in Connecticut (license number 002808) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417044165.

Contact Information

	Kimberly Henderson-kjellen, PSYD
	1097 Farmington Ave, Berlin, CT 06037-2241
	(860) 836-7553
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Henderson-kjellen
Gender	Female
Speciality	Clinical Psychologist
Experience	23 Years
Location	1097 Farmington Ave, Berlin, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Henderson-kjellen graduated from medical school in 2002

NPI Data:

NPI Number: 1417044165
Provider Enumeration Date: 10/06/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 7810051331
Enrollment ID: I20090128000524

Medical Identifiers

Medical identifiers for Kimberly Henderson-kjellen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417044165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	002808 (Connecticut)	Secondary
103TC0700X	Psychologist - Clinical	002808 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Henderson-kjellen allows following entities to bill medicare on her behalf.

Entity Name	Psychological Services Of Kensington, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073012597 PECOS PAC ID: 7517222979 Enrollment ID: O20180606000441

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Henderson-kjellen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Henderson-kjellen, PSYD 1097 Farmington Ave, Berlin, CT 06037-2241 Ph: (860) 836-7553	Kimberly Henderson-kjellen, PSYD 1097 Farmington Ave, Berlin, CT 06037-2241 Ph: (860) 836-7553

Kimberly Henderson-kjellen, PSYD - Medicare Psychologist in Berlin, CT