Kimberly Whitchard, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

850 Issued in AL

Practice address

22394 Miflin Rd Ste 201B
Foley, AL 36535-9593

Phone

(251) 943-6213

Fax

(251) 943-6213

NPI assigned

Mar 27, 2012

Last updated

Feb 7, 2025By 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

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

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Thrive Behavioral Sciences- Orlando LLCGroup PAC ID 9739420654, 35 clinicians

Che Behavioral Health Services of Florida, P.a.Group PAC ID 5698185775, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Che Behavioral Health Services of Florida, P.a.

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1932721206

  Clinical

  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  FL

  Medicare reassignment Care Compare group NPD
• Thrive Behavioral Sciences Orlando LLC

  • Geriatric Psychiatry Physician
  • Orlando, FL
  • NPI 1063979730
  Medicare reassignment Care Compare group NPD
• Whitchard Counseling Services LLC

  • Psychologist
  • Foley, AL
  • NPI 1902493166
  NPD Authorized official
• Professional Counselors of Alabama LLC

  • Psychologist
  • Foley, AL
  • NPI 1891385993
  Authorized official Same address or phone
• Whitchard Counseling Services LLC

  • Psychologist
  • Foley, AL
  • NPI 1912503426
  Authorized official Same address or phone
• Nursing Home Psychological Services LLC

  • Clinical Psychologist
  • Dadeville, AL
  • NPI 1053545350
  NPD (past)
• Nursing Home Psychological Services of Louisiana LLC

  • Clinical Psychologist
  • Slidell, LA
  • NPI 1073747374
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1104192954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 GARDEN CLUB DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247327",
            "telephone_number": "251-979-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22394 MIFLIN RD STE 201B",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365359593",
            "telephone_number": "251-943-6213",
            "fax_number": "251-943-6213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "398 E Columbus St",
            "address_purpose": "LOCATION",
            "city": "Dadeville",
            "state": "AL",
            "postal_code": "368531402",
            "country_code": "US",
            "telephone_number": "256-825-4135",
            "fax_number": "256-825-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITCHARD",
        "first_name": "KIMBERLY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "11213",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D West Jr., M.D.
• Brooke Ashley Wethington, PA-C
• Brent Booth Whiddon, MD
• Whitchard Counseling Services LLC
• Whitchard Counseling Services LLC
• Mary Catherine White
• William Conner White, DO
• Walker James Wilkins, MD
• William Garretson, D.O., P.C.
• Christina Williams, PHARM.D

• Clinical Psychologist in Foley, AL
• Providers in Foley, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.