Organization Active NPI

Kimberly Caudell, PLLC

  • Psychologist
  • Beckley, WV
National Provider Identifier
1639963580
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
KIMBERLY CAUDELL, PLLC
Practice address
330 N Eisenhower Dr Apt Suite
Beckley, WV 25801-4122
Phone
(304) 660-8292
Fax
(304) 929-2278
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Mrs. Kimberly Dawn Caudell, MA
Title
Psychologist
Phone
(304) 660-8292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

330 N Eisenhower Dr Apt Suite
Beckley, WV 25801-4122

Mailing address

500 Mountain Dr
Pearisburg, VA 24134-1111
Phone (304) 660-8292

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1639963580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MOUNTAIN DR",
            "city": "PEARISBURG",
            "state": "VA",
            "postal_code": "241341111",
            "telephone_number": "304-660-8292",
            "fax_number": "304-929-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N EISENHOWER DR APT SUITE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014122",
            "telephone_number": "304-660-8292",
            "fax_number": "304-929-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY CAUDELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "CAUDELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-660-8292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.