Individual provider Active NPI

Kimberly Marie Hardiman, PSY.D.

  • Clinical Psychologist
  • Cape Coral, FL
National Provider Identifier
1023563129
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018592 Issued in PA
Practice address
2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422
Phone
(239) 852-1800
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018592 PA Primary

Addresses

Primary practice location

2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422

Mailing address

3632 Pine Oak Cir Apt 102
Fort Myers, FL 33916-7450
Phone (610) 248-3397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220520001441 FL Practitioner - Clinical Psychologist 1355728957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Reflection Psychology LLCGroup PAC ID 0648610626, 4 clinicians

Practice addresses (Care Compare)

7901 4TH St N
Suite 300
St Petersburg, FL 33702-4399
Phone (941) 216-1832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS018592PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reflection Psychology LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1023563129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 PINE OAK CIR APT 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339167450",
            "telephone_number": "610-248-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 DIPLOMAT PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095422",
            "telephone_number": "239-852-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIMAN",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.