Individual provider Active NPI

Kimberly Allen Finch, PSYD, LP

  • Clinical Psychologist
  • Saint Paul, MN
National Provider Identifier
1225048242
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
MN 4500 Issued in MN
Practice address
2233 Hamline Ave N
Suite 217
Saint Paul, MN 55113-5009
Phone
(651) 636-0099
Fax
(651) 636-1075
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X MN 4500 MN Primary
Health Service Psychologist 103TH0100X MN 4500 MN
Psychologist 103T00000X MN 4500 MN

Addresses

Primary practice location

2233 Hamline Ave N
Suite 217
Saint Paul, MN 55113-5009

Mailing address

2233 Hamline Ave N
Suite 217
Saint Paul, MN 55113-5009
Phone (651) 636-0099

Other identifiers 1

IdentifierTypeStateIssuer
504122800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MN 4500MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Psychology on Grand, PLLC Past Accepting new patients
River City Mental Health Clinic, P.a. Psychologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1225048242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N",
            "address_2": "SUITE 217",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551135009",
            "telephone_number": "651-636-0099",
            "fax_number": "651-636-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N",
            "address_2": "SUITE 217",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551135009",
            "telephone_number": "651-636-0099",
            "fax_number": "651-636-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCH",
        "first_name": "KIMBERLY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "MN 4500",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MN",
            "license": "MN 4500",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "MN 4500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504122800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.