Kimberly Ann Boyd-Bowman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

30712 Issued in CA

Practice address

3000 W Cecil Ave
Delano, CA 93215-1821

Phone

(661) 458-6112

NPI assigned

Jan 26, 2007

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visions of Hope, Inc.

  • Case Management Agency
  • Raleigh, NC
  • NPI 1548329659
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1023164381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N HELENE ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932743127",
            "telephone_number": "919-802-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W CECIL AVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932151821",
            "telephone_number": "661-458-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD-BOWMAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "30712",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30712",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2468",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "30712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Bernardino, M.D.
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• Blood on Wheels
• Michelle Juanatas Bowens, DDS
• Braden Partners LP (Pacific Pulmonary Services)
• Ashley Brannen
• Brian Songsu Kim (Hometown Dental Care)
• Laura Dawn Brown, CADTP
• Browning Manor, Inc (Browning Manor Convalescent Hospital)

• Psychologist in Delano, CA
• Providers in Delano, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.