Kimberly Caouette, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3705 Issued in AZ

Practice address

4701 W Thunderbird Rd
Glendale, AZ 85306-4900

Phone

(602) 543-8019

NPI assigned

Sep 4, 2009

Last updated

Sep 4, 2009By the provider in NPPES

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)

Not enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona State University

  dba Arizona State University Health Services

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1629013263
  NPD (past)

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1821321084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168007",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750168007",
            "telephone_number": "469-735-4545",
            "fax_number": "469-735-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064900",
            "telephone_number": "602-543-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAOUETTE",
        "first_name": "KIMBERLY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon Physical Therapy Glendale LLC
• Canyon State Physical Therapy (Physicians Physical Therapy Service)
• Canyon State Urology, PC
• Canyon Urology Services LLC
• Bachmai Thi Cao
• Gailen Capen
• Mary Capen
• Christina Elizabeth Caple, RD, MS
• Cheryl Capleton
• Joy M Caplette, FNP-C

• Clinical Psychologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.