Kimberly Wilcox

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

4729CAP Issued in FL

Practice address

25166 Marion Ave
Ste 112
Punta Gorda, FL 33950-4017

Phone

(941) 467-6347

NPI assigned

Jan 28, 2009

Last updated

Aug 26, 2010By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• CTS Addiction & Counseling Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Punta Gorda, FL
  • NPI 1932415155
  NPD Authorized official
• Mission Unity Inc

  • Substance Abuse Rehabilitation Facility
  • Port Charlotte, FL
  • NPI 1417253618
  NPD

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1447498589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 RIO DE JANEIRO AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339838674",
            "telephone_number": "941-467-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25166 MARION AVE",
            "address_2": "STE 112",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504017",
            "telephone_number": "941-467-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "4729CAP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wells, APRN
• Sue Wesolowski
• Michael David Wesson, O.D.
• Karin Whitbeck, L.M.T
• Corey A. Whitney, DC
• Simone Williamd
• Andre M Williams, DPM
• Audrey Jean Williams, LCSW
• Khalilah Williams
• Wilshire Medical Arts PA (Luis D Berrios)

• Addiction (Substance Use Disorder) Psychologist in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Addiction (Substance Use Disorder) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.