Active NPI
Terrence P Kimper, PH.D.
- Clinical Psychologist
- Naples, FL
National Provider Identifier
1962438606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7964
- Practice address
- 3060 Tamiami TRL N
Suite 202
Naples, FL 34103-2700 - Phone
- (239) 398-0009
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7964 | FL | Primary |
Addresses
Primary practice location
3060 Tamiami TRL N
Suite 202
Naples, FL 34103-2700
Mailing address
3060 Tamiami TRL N
Suite 202
Naples, FL 34103-2700
Phone (239) 398-0009
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-0468084 | Other | RI | UNITED HEALTH PLANS |
| 413074 | Other | RI | COORDINATED HEALTH PLANS |
| 29801-02 | Other | RI | BLUE CROSS & BLUE SHIELD |
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 |
|---|---|---|---|
| 002506 | CT | MD | Professional Counselor |
| 358 | NH | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angell Street Psychiatry LTD | Past | Accepting new patients | |
| Natchaug Hospital, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Warwick, RI
- NPI 1114011756
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1962438606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 TAMIAMI TRL N",
"address_2": "SUITE 202",
"city": "NAPLES",
"state": "FL",
"postal_code": "341032700",
"telephone_number": "239-398-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 TAMIAMI TRL N",
"address_2": "SUITE 202",
"city": "NAPLES",
"state": "FL",
"postal_code": "341032700",
"telephone_number": "239-398-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMPER",
"first_name": "TERRENCE",
"middle_name": "P",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLANS",
"identifier": "05-0468084",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COORDINATED HEALTH PLANS",
"identifier": "413074",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "29801-02",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.