DR. KIMBERLY ANN KIRKPATRICK JUSTICE PH.D., ABPP
NPI 1003879537
Psychologist in Orlando, FL

Active since April 07, 2006Opted out of Medicare · through Feb 28, 2028
1483 LAKE BALDWIN LN, SUITE A, ORLANDO, FL 32814(321) 422-0145(949) 266-1670 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly Ann Kirkpatrick Justice Ph.d., Abpp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY ANN KIRKPATRICK JUSTICE PH.D., ABPP (NPI 1003879537) is an individual psychologist in Orlando, Florida, licensed in Florida (PY 7064) and active in the NPI registry since April 2006. She has opted out of Medicare through February 28, 2028.

NPPES Registry Identity

NPI1003879537
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KIMBERLY ANN KIRKPATRICK JUSTICECredential: PH.D., ABPP
Location Address1483 LAKE BALDWIN LN, SUITE AOrlando, FL 32814
Mailing Address1483 Lake Baldwin Ln, Suite AOrlando, FL 32814 · (407) 463-4044
Fax(949) 266-1670
Sole ProprietorYes
Enumeration DateApril 7, 2006
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
NPI 1003879537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY 7064
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1483 LAKE BALDWIN LN, Orlando, FL 32814

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kimberly Ann Kirkpatrick Justice Ph.d., Abpp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2026 through February 28, 2028.

Opt-Out Effective DateFebruary 28, 2026
Opt-Out In Effect ThroughFebruary 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1483 LAKE BALDWIN LN
ORLANDO, FL 32814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Kirkpatrick Justice's NPI number?

The NPI number for Kimberly Kirkpatrick Justice is 1003879537. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Kimberly Kirkpatrick Justice located?

Kimberly Kirkpatrick Justice practices at 1483 Lake Baldwin Ln Suite A, Orlando, FL 32814. The listed phone number is (321) 422-0145.

What is Kimberly Kirkpatrick Justice's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kimberly Kirkpatrick Justice enrolled in Medicare?

No. Kimberly Kirkpatrick Justice has opted out of Medicare through February 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Kirkpatrick Justice was last updated on August 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.