DR. KIMBERLY NICOLE CORWIN PHD
NPI 1023551850
Psychologist - Clinical in San Diego, CA

Q: What is Kimberly Corwin's NPI number?

The NPI number for Kimberly Corwin is 1023551850. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Q: What is Kimberly Corwin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Corwin was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 28, 2016PECOS Enrolled

3420 KENYON ST BUILDING B 1ST FLOOR, SAN DIEGO, CA 92110(619) 221-6550 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2017, Jan 25, 2017, Jan 12, 2017 (3 updates tracked since 2017).

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About Dr. Kimberly Nicole Corwin Phd NPPES

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

DR. KIMBERLY NICOLE CORWIN PHD (NPI 1023551850) is an individual clinical provider in San Diego, California, licensed in California (PSY21942) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023551850

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KIMBERLY NICOLE CORWINCredential: PHD

Location Address3420 KENYON ST BUILDING B 1ST FLOORSan Diego, CA 92110-5001

Mailing Address3420 Kenyon St Building B 1st FloorSan Diego, CA 92110-5001 · (619) 221-6550

Phone(619) 221-6550

Sole ProprietorYes

Enumeration DateNovember 28, 2016

Last NPPES UpdateOctober 25, 20213 updates tracked since enumeration

NPPES CertifiedOctober 25, 2021

✔ NPI 1023551850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY21942

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.

Also ListedPsychologistTaxonomy 103T00000X · License PSY21942 (CA)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PSY21942 (CA)

3420 KENYON ST BUILDING B 1ST FLOOR, San Diego, CA 92110

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Nicole Corwin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Corwin's NPI number?

The NPI number for Kimberly Corwin is 1023551850. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Kimberly Corwin located?

Kimberly Corwin practices at 3420 Kenyon St Building B 1st Floor, San Diego, CA 92110. The listed phone number is (619) 221-6550.

What is Kimberly Corwin's specialty?

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

Is Kimberly Corwin enrolled in Medicare?

Yes. Kimberly Corwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Corwin was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.