Individual provider Active NPI

Kimberly A Nenemay, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1649437898
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017239 Issued in NY
Practice address
2221 Camino del Rio S Ste 200
San Diego, CA 92108-3609
Phone
(619) 275-2286
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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 017239 NY Primary

Addresses

Primary practice location

2221 Camino del Rio S Ste 200
San Diego, CA 92108-3609

Mailing address

2221 Camino del Rio S Ste 200
San Diego, CA 92108-3609
Phone (619) 275-2286

Other practice location 1

2604 Juan St
San Diego, CA 92110-2712
Phone (347) 766-1992

Other practice location 2

29 West 36th Street
5th Floor, Suite D
New York, NY 10018
Phone (347) 766-1992

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochelle Perper, Psychology PC Clinical PastSince Feb 13, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1649437898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 CAMINO DEL RIO S STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083609",
            "telephone_number": "619-275-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 CAMINO DEL RIO S STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083609",
            "telephone_number": "619-275-2286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2604 Juan St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921102712",
            "country_code": "US",
            "telephone_number": "347-766-1992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 West 36th Street",
            "address_2": "5th Floor, Suite D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10018",
            "country_code": "US",
            "telephone_number": "347-766-1992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NENEMAY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.