William Kimberlin I, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

420 Superior Street
Erie County Health Department
Sandusky, OH 44870

Phone

(419) 626-5623

Fax

(419) 626-8778

NPI assigned

Sep 1, 2017

Last updated

Sep 1, 2017By the provider in NPPES

Sex

Male

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)

Not enrolled

Practice roles

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.

• Suncoast Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1659371763
  NPD (past)

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1790203453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 PINEWOOD DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448708116",
            "telephone_number": "419-625-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SUPERIOR STREET",
            "address_2": "ERIE COUNTY HEALTH DEPARTMENT",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-626-5623",
            "fax_number": "419-626-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLIN",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Ann Kidd X
• John Bruce Kijowski, LISW-S
• Laura Kilzer
• Dohee Kim-Appel, PHD IMFT PCC LCDCIII
• Gwang Och Kim, MD
• Raven Seymone Kimbro
• Dakota King-White, PHD
• Max King I, LCDCIII
• Morgan Ashley Kirsch, OTD, OTR/L
• Amanda Diane Klein

• Psychologist in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Psychologist in Ohio

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

Verify at the official NPI Registry.