Kim Baldwin Psychological Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KIM BALDWIN PSYCHOLOGICAL SERVICES, PLLC

Practice address

207 W Jefferson St Ste 304
Bloomington, IL 61701-3969

Phone

(309) 204-6614

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kim Baldwin, PSYDNPI 1295906576

Title

Clinical Psychologist

Phone

(309) 204-6614

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Marie Baldwin, PSYD

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1295906576
  NPD Authorized official

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1629700422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W JEFFERSON ST STE 304",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013969",
            "telephone_number": "309-204-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W JEFFERSON ST STE 304",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013969",
            "telephone_number": "309-204-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM BALDWIN PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "309-204-6614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasiruddin Khokhar, MD
• Omar S Khokhar, MD
• Cathy Kiel, RPH
• David L Kieser, APN, FNP
• Erika Kietzman, LAT, ATC
• Daniel U Kim, MD
• Danielle F Kim, D.O.
• John Junil Kim, DPM
• Alexandra Kindred, PA-C
• Stephen L Kindred, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.