NPIMap

Individual provider Active NPI

Kimberly Ann Meyers, PHD

  • Psychologist
  • Arnold, MD
National Provider Identifier
1346576964
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04557 Issued in MD
Practice address
1298 Bay Dale Dr Ste 216
Arnold, MD 21012-2826
Phone
(443) 223-1542
NPI assigned
Nov 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 04557 MD Primary

Addresses

Primary practice location

1298 Bay Dale Dr Ste 216
Arnold, MD 21012-2826

Mailing address

1315 Blackwalnut CT
Annapolis, MD 21403-4660
Phone (443) 223-1542

Other practice location 1

30 Greenway St NW Ste 5
Glen Burnie, MD 21061-3557
Phone (410) 760-9079

Other practice location 2

30 Greenway St NW Ste 5
Glen Burnie, MD 21061-3557
Phone (410) 760-9079

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
04557MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Libby Psychological Wellness Center, LLC Past Accepting new patients
Greater Baltimore Counseling Center, LLC PastSince Feb 1, 1996 Accepting new patients
Oasis the Mental Health Center, LLC PastSince Jan 29, 2023 Accepting new patients

Organizations & group practices 3

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": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346576964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 BLACKWALNUT CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034660",
            "telephone_number": "443-223-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 216",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122826",
            "telephone_number": "443-223-1542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Greenway St NW Ste 5",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613557",
            "country_code": "US",
            "telephone_number": "410-760-9079",
            "fax_number": "410-760-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Greenway St NW Ste 5",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210613557",
            "country_code": "US",
            "telephone_number": "410-760-9079",
            "fax_number": "410-760-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.