Active NPI
Sara Kimmel, PH.D.
- Psychologist
- Cambridge, MA
National Provider Identifier
1629268602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8491
- Practice address
- Harvard University
75 Mt. Auburn Street, 4TH Floor
Cambridge, MA 02138 - Phone
- (617) 495-2042
- NPI assigned
- Jul 26, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8491 | MA | Primary |
Addresses
Primary practice location
Harvard University
75 Mt. Auburn Street, 4TH Floor
Cambridge, MA 02138
Mailing address
Harvard University
75 Mt. Auburn Street, 4TH Floor
Cambridge, MA 02138
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1629268602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HARVARD UNIVERSITY",
"address_2": "75 MT. AUBURN STREET, 4TH FLOOR",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HARVARD UNIVERSITY",
"address_2": "75 MT. AUBURN STREET, 4TH FLOOR",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02138",
"telephone_number": "617-495-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMEL",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "8491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.