Active NPI
Nicole Sally Kluemper, PSY.D.
- Clinical Psychologist
- Evansville, IN
National Provider Identifier
1902125818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042909A
- Practice address
- 7300 E Indiana St Ste 103
Evansville, IN 47715-7448 - Phone
- (216) 468-5000
- NPI assigned
- May 18, 2010
- Last updated
- Sep 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20042909A | IN | Primary |
| Clinical Psychologist | 103TC0700X | PSY27064 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
7300 E Indiana St Ste 103
Evansville, IN 47715-7448
Mailing address
6973 Linda Vista Rd
San Diego, CA 92111-6342
Phone (858) 279-9676
Other names 1
- Nicole Taus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180616000046 | CA | Order and Referring Only - Clinical Psychologist | 7113233065 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27064 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego Family Care | Past | Accepting new patients | |
| San Diego Family Care | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
dba Linda Vista Health Care Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1730218348
-
dba Mid-City Community Clinic-Pediatrics
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1962483040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1902125818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6973 LINDA VISTA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921116342",
"telephone_number": "858-279-9676",
"fax_number": "858-279-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 E INDIANA ST STE 103",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157448",
"telephone_number": "216-468-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUEMPER",
"first_name": "NICOLE",
"middle_name": "SALLY",
"name_prefix": "Mrs.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042909A",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27064",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "TAUS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.