Kimberly Kowalik, PHD, MS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY12058 Issued in FL

Practice address

323 Mira Vista Dr
Dunedin, FL 34698-3317

Phone

(570) 296-1054

Fax

(570) 300-2329

NPI assigned

Aug 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

Practice roles

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.

• Northeastern Behavioral Health, PC

  • Adult Mental Health Clinic/Center
  • Milford, PA
  • NPI 1215568431
  NPD Authorized official

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769904000000",
    "number": "1710396221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MIRA VISTA DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346983317",
            "telephone_number": "845-707-0370",
            "fax_number": "570-300-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MIRA VISTA DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346983317",
            "telephone_number": "570-296-1054",
            "fax_number": "570-300-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALIK",
        "first_name": "KIMBERLY",
        "credential": "PHD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2026-02-01",
        "certification_date": "2026-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George K Korones, MD
• Tomasz Roman Kosowski, MD
• Todd A. Kovach, M.D.
• Izabela Kowal, MD
• Noel Kowal, M.D.
• James Charles Kowalski, LPC, MAC
• Charles E Kramer, M.D.
• Richard Krawczyk, DDS
• Stephanie Kubik
• Jimmi Jonathan Kultschizky, DC

• Clinical Psychologist in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2026; 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.