Individual provider Active NPI

Kimberly Fleming, PHD

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1851800841
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35813 Issued in CA
Practice address
2931 Acresite St
Los Angeles, CA 90039-2301
Phone
(816) 809-6141
NPI assigned
Sep 22, 2017
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018354 PA
Clinical Psychologist 103TC0700X 35813 CA Primary

Addresses

Primary practice location

2931 Acresite St
Los Angeles, CA 90039-2301

Mailing address

2931 Acresite St
Los Angeles, CA 90039-2301
Phone (816) 809-6141

Other practice location 1

390 Commerce Dr # 304
Fort Washington, PA 19034-2600
Phone (215) 390-9355

Other names 1

  • Kimberly Pedersen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20171127002425 PA Practitioner - Clinical Psychologist 5395002554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35813CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Oct 2, 2017 Accepting new patients
Kimberly Fleming Psychological Services PC Clinical CurrentSince Jul 9, 2025 Accepting new patients
Allegheny Clinic Clinical CurrentSince Oct 2, 2017 Accepting new patients

Locations

2315 Myrtle St
Ste 260
Erie, PA 16502
Phone (814) 452-6558

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4 Allegheny Ctr
Fl 8
Pittsburgh, PA 15212
Phone (412) 330-4242

4727 Friendship Ave
Ste 200
Pittsburgh, PA 15224
Phone (412) 235-5810

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1851800841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 ACRESITE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392301",
            "telephone_number": "816-809-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 ACRESITE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392301",
            "telephone_number": "816-809-6141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Commerce Dr # 304",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "PA",
            "postal_code": "190342600",
            "country_code": "US",
            "telephone_number": "215-390-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018354",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PEDERSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.