Kim Ajlouny Ford, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

23171 Issued in CA

Practice address

265 Santa Helena Ste 214
Solana Beach, CA 92075

Phone

(858) 480-1661

Fax

(858) 712-3881

NPI assigned

Dec 8, 2009

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

Other names 1

• Dr. Kim Ajlouny Professional name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Psychological Services, Inc.

  • Psychologist
  • Solana Beach, CA
  • NPI 1568849214
  Medicare reassignment Authorized official
• Psychiatric Centers at San Diego, Inc. Med GRP

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1841241585
  Medicare reassignment
• Kim Ajlouny, Psy.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1386066041
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1861721672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 MANCHESTER AVE",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920072009",
            "telephone_number": "858-229-6986",
            "fax_number": "858-712-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SANTA HELENA STE 214",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "92075",
            "telephone_number": "858-480-1661",
            "fax_number": "858-712-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 Oberlin Dr",
            "address_2": "330",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921214719",
            "country_code": "US",
            "telephone_number": "858-229-6986",
            "fax_number": "858-712-3881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 Oberlin Dr",
            "address_2": "330",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921214719",
            "country_code": "US",
            "telephone_number": "858-229-6986",
            "fax_number": "858-712-3881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "KIM",
        "middle_name": "AJLOUNY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "23171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "AJLOUNY",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kevin J Fitzsimmons, L.C.S.W.
• Marsha Marie Flanagan, MA
• Flower Hill Health Center, Inc
• Jonathan Fong
• Mary Fong, L.AC., Q.M.E.
• Athanasios James Foster, M.D.
• Blair S Foster, PT, DPT
• Michael A Foyle, OD
• Alexandra French, PA-C
• Glenn Barry Frieder, DC

• Clinical Psychologist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.