SAMUEL LEWIS KIMBLES PL.D. PSYCHOLOGY
NPI 1184957730
Psychologist - Clinical in Santa Rosa, CA
About Samuel Lewis Kimbles Pl.d. Psychology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL LEWIS KIMBLES PL.D. PSYCHOLOGY (NPI 1184957730) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY3687) and active in the NPI registry since September 2009. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Samuel Lewis Kimbles Pl.d. Psychology 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 October 1, 2015 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samuel Kimbles's NPI number?
The NPI number for Samuel Kimbles is 1184957730. It was assigned to this individual provider in the NPPES registry on September 15, 2009.
Where is Samuel Kimbles located?
Samuel Kimbles practices at 818 Cherry Street, Santa Rosa, CA 95404. The listed phone number is (707) 544-6647.
What is Samuel Kimbles's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Samuel Kimbles enrolled in Medicare?
No. Samuel Kimbles has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Samuel Kimbles was last updated on September 15, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.