Christine Kimmel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30726 Issued in CA

Practice address

11650 Iberia PL Ste 130
San Diego, CA 92128-2431

Phone

(858) 264-5858

Fax

(858) 649-6012

NPI assigned

May 29, 2014

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

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 and National Provider Directory roles.

• Abs Psychology Services California

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1336659002

  Clinical

  NPD (past)
• Alternative Behavior Strategies, LLC

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1962765693
  NPD (past)

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1023420601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16795",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921766795",
            "telephone_number": "530-760-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 IBERIA PL STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282431",
            "telephone_number": "858-264-5858",
            "fax_number": "858-649-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "892 27th St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921541444",
            "country_code": "US",
            "telephone_number": "619-575-4687",
            "fax_number": "619-575-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "CHRISTINE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octavia Maria Kimble
• Louis Lee Kimbriel Jr.
• John Wesley Kimbrough Jr.
• Christopher Russell Kime
• Susan E Kime, P.T.
• Jennifer Michelle Ray Kimmel, NNP
• Michael Dale Kimmel, LCSW
• Herbert Clifford Kimmons Jr., M.D.
• Beth Ann Kimpson, NNP
• Bruce John Kimura, M.D.

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.