Individual provider Active NPI

Anne-Marie Kimbell, PHD

  • Psychologist
  • San Marcos, TX
National Provider Identifier
1861616492
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33047 Issued in TX
Practice address
1901 Dutton Dr
San Marcos, TX 78666-7573
Phone
(512) 558-2004
NPI assigned
Apr 13, 2007
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33047 TX Primary

Addresses

Primary practice location

1901 Dutton Dr
San Marcos, TX 78666-7573

Mailing address

819 Water St
Suite 300
Kerrville, TX 78028-5333
Phone (830) 792-3300

Other identifiers 1

IdentifierTypeStateIssuer
33047OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33047TXMDPsychologist
14551TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Counseling Services of Texas, P.a. CurrentSince Jun 26, 2022 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Feb 3, 2025 Accepting new patients

Locations

2000 E Lamar Blvd
Ste 600
Arlington, TX 76006
Phone (214) 519-9473

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Organizations & group practices 2

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1861616492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WATER ST",
            "address_2": "SUITE 300",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285333",
            "telephone_number": "830-792-3300",
            "fax_number": "830-792-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 DUTTON DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667573",
            "telephone_number": "512-558-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBELL",
        "first_name": "ANNE-MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33047",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.