Active NPI
Kimberly Marie Hardiman, PSY.D.
- Clinical Psychologist
- Cape Coral, FL
National Provider Identifier
1023563129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018592
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS018592 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflection Psychology LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- St Petersburg, FL
- NPI 1770345159
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.