Individual provider Active NPI

Kimberly Lynnette Kinsler, PSY.D., LCSW

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1396967030
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7565 Issued in FL
Practice address
3262 Cove Bend Dr
Tampa, FL 33613-2752
Phone
(813) 690-4524
Fax
(813) 264-9635
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW7253 FL
Clinical Psychologist 103TC0700X PY7565 FL Primary

Addresses

Primary practice location

3262 Cove Bend Dr
Tampa, FL 33613-2752

Mailing address

PO Box 272374
Tampa, FL 33688-2374
Phone (813) 690-4524

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7565FLMDClinical Psychologist
SW7253FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1396967030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272374",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336882374",
            "telephone_number": "813-690-4524",
            "fax_number": "813-264-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-690-4524",
            "fax_number": "813-264-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLER",
        "first_name": "KIMBERLY",
        "middle_name": "LYNNETTE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7253",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.