Organization Active NPI

Kimberly M Kimchi PHD

  • Clinical Psychologist
  • Hershey, PA
National Provider Identifier
1891089728
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016814 Issued in PA
Legal business name
KIMBERLY M KIMCHI PHD
Practice address
405 E Chocolate Ave
Hershey, PA 17033-1331
Phone
(717) 525-2268
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Kimberly M Kimchi, PHD
Title
Owner
Phone
(717) 525-2268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS016814 PA Primary

Addresses

Primary practice location

405 E Chocolate Ave
Hershey, PA 17033-1331

Mailing address

405 E Chocolate Ave
Hershey, PA 17033-1331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1891089728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331331",
            "telephone_number": "717-525-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M KIMCHI PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "KIMCHI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-525-2268",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.