Ryan Samuel Kimball, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0005901 Issued in CO

Practice address

21825 E Quincy Ave
Aurora, CO 80018-3155

Phone

(720) 723-3593

NPI assigned

Oct 3, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1336863216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21825 E QUINCY AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800183155",
            "telephone_number": "720-723-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21825 E QUINCY AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800183155",
            "telephone_number": "720-723-3593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12760 Stroh Ranch Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801347505",
            "country_code": "US",
            "telephone_number": "303-529-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "RYAN",
        "middle_name": "SAMUEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Kim, MD
• Yejoon Kim, MD
• Younsuk Kim
• Chelsey Kimball
• Julia D. Kimball, OD
• Marilyn Elaine Kimbrough, MD
• Norman Kimbrough
• Melinda J Kimmel, FNP-C
• Shanda Lee Kinch, MSW
• Kind & Karing in-Home Care

• Clinical Psychologist in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.