Kimberlie King, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7561 Issued in MA

Practice address

2364 Washington St
Newton, MA 02462-1440

Phone

(617) 332-2047

Fax

(617) 332-7341

NPI assigned

Jan 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 4, 2020 through Nov 4, 2026

Medicare enrollment (NPD)

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.

• Center for Integrative Health

  • Health Psychologist
  • Waltham, MA
  • NPI 1124633565
  NPD Authorized official
• Newton-Wellesley Psychiatry

  • Psychiatry Physician
  • Wellesley, MA
  • NPI 1427029297

  Clinical

  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1003887696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621440",
            "telephone_number": "617-332-2047",
            "fax_number": "617-332-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621440",
            "telephone_number": "617-332-2047",
            "fax_number": "617-332-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KIMBERLIE",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W06005",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kilroe, MD
• E Roo Kim
• Justin Yeonjin Kim
• Rae Kyeong Kim
• Rae Yeong Kim
• Emily Kinsman
• Sarah Kirane
• Kelly Kirby, LMHC
• Kathryn D Kirshenbaum, L.I.C.S.W.
• Flavia Kitakule

• Clinical Psychologist in Newton, MA
• Providers in Newton, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.