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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Corwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.9 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Kimberly Corwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Corwin reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Corwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.