Kimberly Ann Kirkpatrick Justice, PH.D., ABPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 7064 Issued in FL

Practice address

1483 Lake Baldwin LN
Suite a
Orlando, FL 32814

Phone

(321) 422-0145

Fax

(949) 266-1670

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 28, 2026 through Feb 28, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological Affiliates Inc

  • Clinical Psychologist
  • Winter Park, FL
  • NPI 1699815753
  NPD (past)
• Psychological Affiliates, Inc.

  • Clinical Child & Adolescent Psychologist
  • Winter Park, FL
  • NPI 1649324005
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1003879537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 LAKE BALDWIN LN",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32814",
            "telephone_number": "407-463-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 LAKE BALDWIN LN",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32814",
            "telephone_number": "321-422-0145",
            "fax_number": "949-266-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK JUSTICE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 7064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Suezanne Kirk
• Sarah Kirk, OTRL
• Shannon Kirk
• Kirkman Medical Center LLC
• Jason Kirkman, ATC
• Del T Kirkpatrick, MD
• John S Kirkpatrick, MD
• Vincent Ellis Kirkpatrick, M.D.
• Jillian Kirschke, MS, OTR/L
• Kori Lynn Kirschner, MS, ATC, LAT

• Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.