KIMBERLIE KING PH.D
NPI 1003887696
Psychologist - Clinical in Newton, MA

Q: What is Kimberlie King's NPI number?

The NPI number for Kimberlie King is 1003887696. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Q: What is Kimberlie King's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kimberlie King enrolled in Medicare?

No. Kimberlie King has opted out of Medicare through November 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kimberlie King was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2006Opted out of Medicare · through Nov 4, 2026

2364 WASHINGTON ST, NEWTON, MA 02462(617) 332-2047(617) 332-7341 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberlie King Ph.d NPPES

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

KIMBERLIE KING PH.D (NPI 1003887696) is an individual clinical provider in Newton, Massachusetts, licensed in Massachusetts (7561) and active in the NPI registry since January 2006. She has opted out of Medicare through November 4, 2026.

NPPES Registry Identity

NPI1003887696

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKIMBERLIE KINGCredential: PH.D

Location Address2364 WASHINGTON STNewton, MA 02462-1440

Mailing Address2364 Washington StNewton, MA 02462-1440 · (617) 332-2047 · Fax (617) 332-7341

Phone(617) 332-2047

Fax(617) 332-7341

Sole ProprietorNo

Enumeration DateJanuary 31, 2006

Last NPPES UpdateApril 10, 2008

✔ NPI 1003887696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 7561

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2364 WASHINGTON ST, Newton, MA 02462

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Other Identifiers 3

Medicare UPINP24183

Medicare PINW50778MA

OtherW06005MA · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberlie King Ph.d 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 November 4, 2020 through November 4, 2026.

Opt-Out Effective DateNovember 4, 2020

Opt-Out In Effect ThroughNovember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

SHELLY ISAACS PSY.D

Psychologist (Clinical)