Kimberly Elaine Garrison, PSY.D.,

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY.0004445 Issued in CO

Practice address

6924 S Olive Way
Centennial, CO 80112-1124

Phone

(720) 353-2947

NPI assigned

Aug 24, 2010

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

• Kimberly Elaine Bertelsen Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psy-Med, Inc.

  • Health Psychologist
  • Dallas, TX
  • NPI 1881842102
  Medicare reassignment NPD
• Fearlessly Authentic Psychology, LLC

  • Clinical Psychologist
  • Lakewood, CO
  • NPI 1780312298
  NPD Authorized official
• Collective Co LLC

  • Psychiatry Physician
  • Glendale, CO
  • NPI 1639727043

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1992011373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 S OLIVE WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121124",
            "telephone_number": "720-353-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 S OLIVE WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121124",
            "telephone_number": "720-353-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "KIMBERLY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BERTELSEN",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory Allen Gardner, D.D.S.
• Natalie Ann Gardner
• Jessica Garel
• Marc Alan Garfinkel, D.C.
• N Mary Beth Garland, BA
• Gary G Wolfson, D.D.S. PLLC
• GBW Educational Services, LLC
• Haley Geary
• Matthew James Gebing, AUD
• Brhane Tadesse Gebreslasia, PHARM.D.

• Psychologist in Centennial, CO
• Providers in Centennial, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.

Verify at the official NPI Registry.