Individual provider Active NPI

Kimberly Zlomke Rodriguez, PH.D., BCBA-D

  • Clinical Psychologist
  • Mobile, AL
National Provider Identifier
1477713014
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1634 Issued in AL
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

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100254534-00MedicaidNE

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

LicenseStateTypeSpecialty
1634ALMDSports Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Collective LLC Counselor CurrentSince Nov 8, 2025 Accepting new patients

Locations

960 Downtowner Blvd
Mobile, AL 36609
Phone (251) 480-0070

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.