Individual provider Active NPI

Kimberly Benefield David, LICENSED SCHOOL PSYC

  • School Psychologist
  • Jupiter, FL
National Provider Identifier
1346985421
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1408 Issued in FL
Practice address
920 W Indiantown Rd Ste 107
Jupiter, FL 33458-6847
Phone
(561) 288-8813
NPI assigned
May 3, 2022
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1408 FL Primary

Addresses

Primary practice location

920 W Indiantown Rd Ste 107
Jupiter, FL 33458-6847

Mailing address

920 W Indiantown Rd Ste 107
Jupiter, FL 33458-6847
Phone (561) 288-8813

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

State licenses

LicenseStateTypeSpecialty
SS1408FLMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1346985421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W INDIANTOWN RD STE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586847",
            "telephone_number": "561-288-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W INDIANTOWN RD STE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586847",
            "telephone_number": "561-288-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "KIMBERLY",
        "middle_name": "BENEFIELD",
        "credential": "LICENSED SCHOOL PSYC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.