Active NPI
Kimberly Gayle Copeland, PH.D.
- Clinical Psychologist
- Bellaire, TX
National Provider Identifier
1811137136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31841
- Practice address
- 5909 West Loop S Ste 420
Bellaire, TX 77401-2405 - Phone
- (713) 839-1927
- Fax
- (713) 481-0866
- NPI assigned
- Feb 26, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31841 | TX | Primary |
Addresses
Primary practice location
5909 West Loop S Ste 420
Bellaire, TX 77401-2405
Mailing address
5909 West Loop S Ste 420
Bellaire, TX 77401-2405
Phone (713) 839-1927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 28, 2023 through Feb 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1076 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 31841 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1811137136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 WEST LOOP S STE 420",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012405",
"telephone_number": "713-839-1927",
"fax_number": "713-481-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5909 WEST LOOP S STE 420",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012405",
"telephone_number": "713-839-1927",
"fax_number": "713-481-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "KIMBERLY",
"middle_name": "GAYLE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "31841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.