Kimberly Palmer Ray, PHD, BCBA-D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36618 Issued in MS

Practice address

2001 N. West St.
Jackson, MS 39202-1037

Phone

(601) 709-5526

Fax

(601) 709-5527

NPI assigned

Jan 4, 2007

Last updated

Dec 19, 2013By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1851448963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 NORTH WEST ST.",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021037",
            "telephone_number": "601-709-5526",
            "fax_number": "601-709-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N. WEST ST.",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021037",
            "telephone_number": "601-709-5526",
            "fax_number": "601-709-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KIMBERLY",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "36618",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-00-00351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119527",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twila W. Rawson, PH.D.
• Elizabeth A Ray, R.D.
• Katie Ray
• Kecia Spencer Ray, O.T.R.
• Kelly Matthew Ray, CRNA
• Linda Ilene Ray, M.D.
• Melinda S. Ray, M.D.
• William Franklin Rayburn, M.D.
• Lorneater Rayford
• Raymond F. Grenfell, III., M.D., PLLC

• Psychologist in Jackson, MS
• Providers in Jackson, MS by specialty
• Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.