Individual provider Active NPI

Kimberly B. Oram, PSY.D.

  • Clinical Psychologist
  • Port St Lucie, FL
National Provider Identifier
1629003553
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6336 Issued in FL
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

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PY6336OtherFLFLORIDA LICENSE

Other names 1

  • Dr. Kimberly B. Barnett Former name

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

LicenseStateTypeSpecialty
PY6336FLMDClinical 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.

Verify at the official NPI Registry.