Kimberly Silla, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

023641-01 Issued in NY

Practice address

4087 Tonawanda Creek Rd
North Tonawanda, NY 14120-9505

Phone

(716) 698-7097

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By 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 2

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

Practice roles

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.

• Bluebird Teleshrink

  • Counseling Psychologist
  • North Tonawanda, NY
  • NPI 1851987341
  NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1386258390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142260206",
            "telephone_number": "716-698-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 TONAWANDA CREEK RD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209505",
            "telephone_number": "716-698-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLA",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023641-01",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neely Shah
• Shannon Baehr LCSW, PLLC (Baehr Therapy)
• Susan Sharcot, LCSW-R
• Patricia Louise Sheldon-Scheuneman
• Bethany L Sikorski, PA-C
• Brynn Louise Simmons
• Melissa Simpson, COTA/L
• Stephanie Lynn Singh, PT
• Patricia Lynn Siola
• Emily Sirface, DPT

• Psychologist in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.