Active NPI
Kimberly Ann Cusimano, PH.D.
- Counseling Psychologist
- Hanover, NH
National Provider Identifier
1932125481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY18363
- Practice address
- 6 Purling Brooks Dr
Hanover, NH 03755-6625 - Phone
- (916) 616-0771
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY18363 | CA | Primary |
Addresses
Primary practice location
6 Purling Brooks Dr
Hanover, NH 03755-6625
Mailing address
6 Purling Brooks Dr
Hanover, NH 03755-6625
Phone (916) 616-0771
Other practice location 1
6324 Kenneth Ave
Carmichael, CA 95608-5320
Phone (916) 161-0771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014230 | NY | MD | Mental Health Counselor |
| PSY18363 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1932125481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PURLING BROOKS DR",
"city": "HANOVER",
"state": "NH",
"postal_code": "037556625",
"telephone_number": "916-616-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PURLING BROOKS DR",
"city": "HANOVER",
"state": "NH",
"postal_code": "037556625",
"telephone_number": "916-616-0771"
}
],
"practiceLocations": [
{
"address_1": "6324 Kenneth Ave",
"address_purpose": "LOCATION",
"city": "Carmichael",
"state": "CA",
"postal_code": "956085320",
"country_code": "US",
"telephone_number": "916-161-0771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUSIMANO",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY18363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.