Raquel Kirmse, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY10495 Issued in FL

Practice address

1573 W Fairbanks Ave Ste 220
Winter Park, FL 32789-4679

Phone

(407) 303-7991

NPI assigned

Jul 3, 2019

Last updated

Aug 20, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Pediatric Neuropsychological Services, PLLC

  • Clinical Neuropsychologist
  • Plano, TX
  • NPI 1942976774
  NPD Authorized official

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1851953434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 W FAIRBANKS AVE STE 220",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894679",
            "telephone_number": "407-303-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 W FAIRBANKS AVE STE 220",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894679",
            "telephone_number": "407-303-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRMSE",
        "first_name": "RAQUEL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY10495",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lorraine King, PSY.D.
• Donna Kini-Bowen, AP, DOM
• Kinxo Medical Supplies LLC
• Gerard Paul Kinzler, LCSW
• Najib Kirmani, M.D.
• Katherine Kirschbaum, DPM
• Anne M Kitslaar, PA-C
• Hailey R Kivler, MA
• Tunc Can Kiymaz, MD
• Esenam Lucinda Kjerulff, M.D.

• Clinical Neuropsychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.