Kimberly Arianne Austin, CAS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1214952 Issued in NY

Practice address

6296 Fly Rd
East Syracuse, NY 13057-9333

Phone

(315) 701-5710

NPI assigned

Oct 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kimberly Arianne Sterling Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hear 2 Learn

  • Early Intervention Provider Agency
  • East Syracuse, NY
  • NPI 1871808162
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1144556556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 DORCHESTER AVE APT 2D",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031423",
            "telephone_number": "315-529-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 FLY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579333",
            "telephone_number": "315-701-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "KIMBERLY",
        "middle_name": "ARIANNE",
        "name_prefix": "Mrs.",
        "credential": "CAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1214952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STERLING",
            "middle_name": "ARIANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara Atwater, RN, BSN
• Paige Taylor Audenino, BS, MS
• Kathleen M Augustine-Farnett
• Joseph P Augustine, MD
• Nicholas J. Augustine, MD
• Emil Azer, MD
• Catherine Bailey, M.D.
• Renel Denise Baker, LPN
• Gina Marie Ball, RN
• Barbara J. Miller, M.D., P.C.

• School Psychologist in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.