Kimberly Brooke Conde, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2016005652 Issued in MO

Practice address

89 McCrory Drive
Camdenton, MO 65020

Phone

(573) 433-2833

NPI assigned

Apr 28, 2020

Last updated

Apr 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lake Behavioral HealthGroup PAC ID 5597171736, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Lake Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Osage Beach, MO
  • NPI 1366037764
  Medicare reassignment Care Compare group NPD
• Richland Medical Center, Inc.

  dba Central Ozark Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Osage Beach, MO
  • NPI 1891931978
  Medicare reassignment
• Lake Behavioral Health Associates, LLC

  • Clinical Psychologist
  • Osage Beach, MO
  • NPI 1942241203
  NPD
• Benton Street Counseling LLC

  • Professional Counselor
  • Rolla, MO
  • NPI 1578053955
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1770104044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N VILLAGE CIR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035666",
            "telephone_number": "573-356-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MCCRORY DRIVE",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "65020",
            "telephone_number": "573-433-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDE",
        "first_name": "KIMBERLY",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2016005652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Choate, DNP, AGACNP
• Chris Franklin DO PC
• Alex Clarke, DO
• Paul H Compney, FNP
• Gail Compton, NP
• Evan K Connell, DDS
• Matthew Evan Connell, D.D.S
• Christine Cooper, MA, PLPC
• County of Camden
• Dillon Companies LLC (Gerbes Pharmacy)

• Clinical Psychologist in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.