Kimberly Irene Kohli, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7227 Issued in OH

Practice address

1580 State Route 56
Madison Correctional Institution
London, OH 43140

Phone

(740) 852-9777

Fax

(740) 852-3666

NPI assigned

Apr 16, 2015

Last updated

Feb 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in OH

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.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

76.95 of 100Reported as group

Quality

43.39

Promoting interoperability

100

Improvement activities

40

Cost

76.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Fairfield Healthcare Professionals Inc

  • Surgery Physician
  • Lancaster, OH
  • NPI 1457396368
  Medicare reassignment NPD
• Fairfield Healthcare Professionals, Inc.

  dba Fairfield Medical Urgent Care

  • Urgent Care Clinic/Center
  • Lancaster, OH
  • NPI 1700334182
  NPD
• Fairfield Healthcare Professionals Inc

  dba Fairfield Psychiatric Services

  • Psychiatry Physician
  • Lancaster, OH
  • NPI 1255372215
  NPD (past)
• State of Ohio

  • Community/Behavioral Health Agency
  • London, OH
  • NPI 1902218779
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1356738439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6457 REFLECTIONS DR",
            "address_2": "STE 120",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172352",
            "telephone_number": "614-354-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 STATE ROUTE 56",
            "address_2": "MADISON CORRECTIONAL INSTITUTION",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "43140",
            "telephone_number": "740-852-9777",
            "fax_number": "740-852-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "KIMBERLY",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali R Khafsafard, DDS
• Saleem Khan, MD
• Maria Yvonne King, LISW-S
• Roberta Jean Kirts
• Denny Klenowski
• Nicole Kolarik
• Elizabeth Kosinski, OTR/L
• Margaret Louise Kuhlwein, APRN-CNP
• Rosalie A Kuriakose, MD
• Allison L Landoll, DO

• Psychologist in London, OH
• Providers in London, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.