Kimel A. Limon, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 17613 Issued in CA

Practice address

550 H St
Ste 1N
Crescent City, CA 95531-3736

Phone

(541) 254-0941

Fax

(707) 812-6106

NPI assigned

Feb 24, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Alliance Psychological Services, Inc.

  • Clinical Psychologist
  • Gardena, CA
  • NPI 1417098716
  NPD (past) Authorized official
• Av Holding, Inc.

  • Adult Care Home Facility
  • Los Angeles, CA
  • NPI 1285162834
  NPD (past)
• Alliance Psychological Services

  • Clinical Psychologist
  • Rochester, MI
  • NPI 1639558620
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492214400000",
    "number": "1043346208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16340 LOWER HARBOR RD",
            "address_2": "# 331",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974158303",
            "telephone_number": "541-254-0941",
            "fax_number": "707-812-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 H ST",
            "address_2": "STE 1N",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955313736",
            "telephone_number": "541-254-0941",
            "fax_number": "707-812-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMON",
        "first_name": "KIMEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2017-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 17613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY176130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Chee Lee
• Ernest Clifton Leonard, PHD
• Bailey Marie Lesina
• Robert Bernard Levine, PHD
• Mengyu Li
• Matthew J Lo
• Sophia Siu-Fun Loh, RPH
• Debi Lynn Long, BA
• Olivia Marie Lopez Gibson
• Chong Vang Lor

• Clinical Psychologist in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; 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.