Active NPI
Kimberly Zlomke Rodriguez, PH.D., BCBA-D
- Clinical Psychologist
- Mobile, AL
National Provider Identifier
1477713014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1634
- Practice address
- 960 Downtowner Blvd
Mobile, AL 36609-5406 - Phone
- (251) 480-0070
- NPI assigned
- Jun 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1634 | AL | Primary |
| Counselor | 101Y00000X | 8621 | NE | |
| Behavior Analyst | 103K00000X | 1-05-2487-2005 |
Addresses
Primary practice location
960 Downtowner Blvd
Mobile, AL 36609-5406
Mailing address
254 E Mount Island Dr
Mobile, AL 36606-1843
Phone (251) 460-6569
Other practice location 1
307 N University Blvd
University Commons 2000
Mobile, AL 36688-3053
Phone (251) 460-7149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100254534-00 | Medicaid | NE |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1634 | AL | MD | Sports Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Collective LLC | Counselor | Current | Accepting new patients |
Locations
960 Downtowner Blvd
Mobile, AL 36609
Phone (251) 480-0070
Interoperability endpoints
- kzlomke@twcl-al.direct.office.nextgen.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Mobile, AL
- NPI 1740984368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1477713014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 E MOUNT ISLAND DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366061843",
"telephone_number": "251-460-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 DOWNTOWNER BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366095406",
"telephone_number": "251-480-0070"
}
],
"practiceLocations": [
{
"address_1": "307 N University Blvd",
"address_2": "University Commons 2000",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366883053",
"country_code": "US",
"telephone_number": "251-460-7149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZLOMKE RODRIGUEZ",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "PH.D., BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1634",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "8621",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-05-2487-2005",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100254534-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.