Individual provider Active NPI

Kimberly R Giuliani, PHD

  • Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1215918099
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7682 Issued in FL
Practice address
1136 Vintner Blvd
Palm Beach Gardens, FL 33410-1533
Phone
(561) 691-0704
NPI assigned
Nov 9, 2005
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 002153 CT
Psychologist 103T00000X PY7682 FL Primary

Addresses

Primary practice location

1136 Vintner Blvd
Palm Beach Gardens, FL 33410-1533

Mailing address

1136 Vintner Blvd
Palm Beach Gardens, FL 33410-1533
Phone (561) 691-0704

Other identifiers 1

IdentifierTypeStateIssuer
004187656MedicaidCT

Other names 1

  • Kimberly R Stoddard Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081024000440 FL Practitioner - Clinical Psychologist 3971661695 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael M Tuchman MD PAGroup PAC ID 4688777915, 4 clinicians
Cotler Healthcare and Development IncGroup PAC ID 0143121145, 25 clinicians

Practice addresses (Care Compare)

3355 Burns Rd
Suite 201
Palm Beach Gardens, FL 33410-4355
Phone (561) 694-1010

901 S 62ND Ave
Hollywood, FL 33023-1848
Phone (954) 893-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002153CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. CurrentSince Jul 20, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Oct 5, 2018 Accepting new patients
MCR Health, Inc. CurrentSince Oct 5, 2018 Accepting new patients
Ace Behavioral Health LLC Psychologist CurrentSince May 1, 2025 Accepting new patients

Locations

620 Belleair Rd
Clearwater, FL 33756
Phone (727) 467-9464

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (813) 880-7577

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1215918099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 VINTNER BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101533",
            "telephone_number": "561-691-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 VINTNER BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101533",
            "telephone_number": "561-691-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANI",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002153",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004187656",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STODDARD",
            "middle_name": "R",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.