Kimberley Cochran, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2886 Issued in NC

Practice address

9256 Palm Bay Cir
Raleigh, NC 27617-7778

Phone

(919) 414-5530

NPI assigned

Jan 30, 2007

Last updated

Mar 4, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 16, 2015 through Feb 16, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kimberley Cochran PLLC

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1073825568
  Authorized official Same address or phone

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1346386794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 PALM BAY CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177778",
            "telephone_number": "919-414-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 PALM BAY CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177778",
            "telephone_number": "919-414-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "KIMBERLEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Orndorff Cobern, FNP-BC
• Alexandra Vitek Cobo, ATC, PA-C
• Melanie Cobos, PT
• Adam C Cochran, PHARMD
• Caitlyn Cochran, PA-C
• Lori Rushing Cochran, LCSW
• Marissa Cranford Cochran
• Melissa Kathryn Cochran, NP
• Robert Earl Cochrane, PSY.D.
• Joscelyn George Cockburn

• Clinical Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.