Active NPI
Kimberly B. Oram, PSY.D.
- Clinical Psychologist
- Port St Lucie, FL
National Provider Identifier
1629003553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6336
- Practice address
- 150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413 - Phone
- (772) 809-9000
- Fax
- (772) 809-9087
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6336 | FL | Primary |
Addresses
Primary practice location
150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413
Mailing address
4216 NE Hyline Dr
Jensen Beach, FL 34957-3830
Phone (772) 232-0786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY6336 | Other | FL | FLORIDA LICENSE |
Other names 1
- Dr. Kimberly B. Barnett
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY6336 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1629003553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4216 NE HYLINE DR",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349573830",
"telephone_number": "772-232-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SW CHAMBER CT",
"address_2": "SUITE 105",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349863413",
"telephone_number": "772-809-9000",
"fax_number": "772-809-9087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORAM",
"first_name": "KIMBERLY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "PY6336",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BARNETT",
"middle_name": "B.",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.