Kimberly Bennett, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY16324 Issued in CA

Practice address

751 E Daily Dr Ste 320
Camarillo, CA 93010-0772

Phone

(818) 263-7420

NPI assigned

Dec 22, 2006

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

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Casa Pacifica Centers for Children and Families

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1154447761
  NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1487719258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E DAILY DR STE 320",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100772",
            "telephone_number": "818-263-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E DAILY DR STE 320",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100772",
            "telephone_number": "818-263-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeni L Bello, MPT
• Bree Beltran
• Lizbeth Guadalupe Beltran
• Maynard Belzer, M.D.
• Tiffany B Ben
• Tracy S Bennett, PH.D.
• Anya Berenshteyn, NP
• Roni Anne Valencia Bergantinos, PT
• Karl William Bergenstal, PH.D.
• Robert T Bergman, D.D.S.

• Clinical Psychologist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.