Kimberly Stewart Adams, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3437 Issued in NC

Practice address

710 Military Cutoff Rd
Suite 120
Wilmington, NC 28405-2375

Phone

(910) 254-4818

Fax

(910) 254-4819

NPI assigned

Dec 9, 2006

Last updated

Jul 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kimberly Jarrett Stewart Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Trinity Wellness Center of Wilmington IncGroup PAC ID 6002843752, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Wellness Center of Wilmington Inc

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1841382173
  Medicare reassignment Care Compare group NPD
• Lecci Psychological Services, PLLC

  dba MARS Memory Health Network

  • Psychologist
  • Wilmington, NC
  • NPI 1811976426
  Medicare reassignment NPD
• Kimberly S Adams PSYD PC

  • Clinical Neuropsychologist
  • Wilmington, NC
  • NPI 1629258801
  Authorized official Same address or phone
• Hampton Roads Neuropsychology

  • Clinical Neuropsychologist
  • Virginia Beach, VA
  • NPI 1982718284
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pitt County Memorial Hospital Inc

  dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  dba ECU Health Medical Center

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1093875338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MILITARY CUTOFF RD",
            "address_2": "SUITE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052375",
            "telephone_number": "910-254-4818",
            "fax_number": "910-254-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MILITARY CUTOFF RD",
            "address_2": "SUITE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052375",
            "telephone_number": "910-254-4818",
            "fax_number": "910-254-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KIMBERLY",
        "middle_name": "STEWART",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "3437",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001005",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STEWART",
            "middle_name": "JARRETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celine Adair, M.F.T
• Alyssa Adamkowski, PT, DPT
• Deborah A Adams-Wingate, NP
• David Arthur Adams Jr., RPH
• Elvin Eugene Adams, MD/MPH
• Ophelia Denise Adams, D.C.
• Robert McLain Adams IV, MD
• Sarah P. Adams
• Andrew James Adamson, M.D.
• Adaptive Technologies, LLC

• Clinical Neuropsychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.

Verify at the official NPI Registry.