KIM SHIMODA PHD
NPI 1013926898
Psychologist in Fort Myers, FL

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
9981 S HEALTHPARK DR, FORT MYERS, FL 33908(239) 343-5333(239) 343-5321 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2021, Oct 22, 2020 (2 updates tracked since 2020).

About Kim Shimoda Phd NPPES

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

KIM SHIMODA PHD (NPI 1013926898) is an individual psychologist in Fort Myers, Florida, licensed in Florida (PY70008) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Naples, and is a graduate of University Of Utah School Of Medicine (1993).

NPPES Registry Identity

NPI1013926898
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIM SHIMODACredential: PHD
Location Address9981 S HEALTHPARK DRFort Myers, FL 33908-3618
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-5333 · Fax (239) 343-5321
Fax(239) 343-5321
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1993
Enumeration DateAugust 7, 2006
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1013926898 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 · PY70008
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.

9981 S HEALTHPARK DR, Fort Myers, FL 33908

Secondary Practice Location 1

Location 11265 CREEKSIDE PKWY, STE 200NAPLES, FL 34108-1954 · Phone (239) 254-4270 · Fax (239) 254-4271

Other Identifiers 1

Medicaid102622500FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kim Shimoda Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719164326
PECOS Enrollment IDI20110608000471
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Pediatrics (Neonatal-Perinatal Medicine)
9981 S HEALTHPARK DR, SUITE 281
FORT MYERS, FL 33908
Clinic/Center (Ambulatory Surgical)
9981 S HEALTHPARK DR, SUITE 259
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal, Critical Care)
9981 S HEALTHPARK DR, NICU
FORT MYERS, FL 33908
Radiologic Technologist (Magnetic Resonance Imaging)
9981 S HEALTHPARK DR, MRI SUITE
FORT MYERS, FL 33908
Genetic Counselor, MS
9981 S HEALTHPARK DR, SUITE 159
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Nurse Practitioner (Neonatal, Critical Care)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Pediatrics
9981 S HEALTHPARK DR
FORT MYERS, FL 33908

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 Kim Shimoda's NPI number?

The NPI number for Kim Shimoda is 1013926898. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Kim Shimoda located?

Kim Shimoda practices at 9981 S Healthpark Dr, Fort Myers, FL 33908. The listed phone number is (239) 343-5333.

What is Kim Shimoda's specialty?

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

Is Kim Shimoda enrolled in Medicare?

Yes. Kim Shimoda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kim Shimoda accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kim Shimoda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Shimoda was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.