Active NPI
Kimberly Claudat I, PH.D.
- Psychologist
- San Diego, CA
National Provider Identifier
1699200949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY28581
- Practice address
- 4370 La Jolla Village Dr
Suite 400
San Diego, CA 92122-1249 - Phone
- (858) 342-4466
- NPI assigned
- Apr 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY28581 | CA | Primary |
Addresses
Primary practice location
4370 La Jolla Village Dr
Suite 400
San Diego, CA 92122-1249
Mailing address
4510 Executive Dr
Suite 315
San Diego, CA 92121-3021
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28581 | CA | MD | Psychologist |
| 28581 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1699200949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR",
"address_2": "SUITE 315",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 LA JOLLA VILLAGE DR",
"address_2": "SUITE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921221249",
"telephone_number": "858-342-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUDAT",
"first_name": "KIMBERLY",
"name_suffix": "I",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY28581",
"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 Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.