Active NPI
Kim Carlisle Francis, ED.D.
- Counseling Psychologist
- Berkeley Heights, NJ
National Provider Identifier
1033233291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3017
- Practice address
- 130 Kent Dr
Berkeley Heights, NJ 07922-2332 - Phone
- (908) 665-8975
- Fax
- (908) 665-8975
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3017 | NJ | |
| Counseling Psychologist | 103TC1900X | 3017 | NJ | Primary |
Addresses
Primary practice location
130 Kent Dr
Berkeley Heights, NJ 07922-2332
Mailing address
130 Kent Dr
Berkeley Heights, NJ 07922-2332
Phone (908) 665-8975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1033233291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 KENT DR",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222332",
"telephone_number": "908-665-8975",
"fax_number": "908-665-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 KENT DR",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222332",
"telephone_number": "908-665-8975",
"fax_number": "908-665-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCIS",
"first_name": "KIM",
"middle_name": "CARLISLE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "3017",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NJ",
"license": "3017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.