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DR. STACEY KIMMELMAN PSY.D.
NPI 1225195126
Psychologist - Clinical in Boston, MA

Active since January 02, 2007
160 COMMONWEALTH AVE, SUITE U3, BOSTON, MA 02116(617) 259-1895 Get Directions Write a Review

NPPES record last updated: November 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stacey Kimmelman Psy.d. NPPES

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

DR. STACEY KIMMELMAN PSY.D. (NPI 1225195126) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (8199) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1225195126
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STACEY KIMMELMANCredential: PSY.D.
Location Address160 COMMONWEALTH AVE, SUITE U3Boston, MA 02116-2707
Mailing Address160 Commonwealth Ave, Suite U3Boston, MA 02116-2707 · (617) 259-1895
Phone(617) 259-1895
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateNovember 14, 2008
✔ NPI 1225195126 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 · 8199
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.
160 COMMONWEALTH AVE, Boston, MA 02116
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Other Identifiers 1

Medicare ID-Type UnspecifiedW51483MA · Current Medicare Number

Other Providers at the Same Location NPPES 7

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

DR. LESLIE CAROLINE LUCCHINA M.D.
Dermatology
160 COMMONWEALTH AVE, UNIT 6A
BOSTON, MA 02116
Suffolk County (617) 262-3376
DR. JENNIFER WEST PH.D.
Psychologist
160 COMMONWEALTH AVE, SUITE U-3
BOSTON, MA 02116
Suffolk County (617) 259-1895
BROOKE RUTLEDGE SECKEL M.D.
Plastic Surgery
160 COMMONWEALTH AVE, 317
BOSTON, MA 02116
Suffolk County (617) 455-2859
WHITNEY HAVINS
Clinical Neuropsychologist
160 COMMONWEALTH AVE, STE U-3
BOSTON, MA 02116
Suffolk County (617) 259-1895
INNOVATIVE BEHAVIORAL HEALTH, LLC
Psychologist (Clinical)
160 COMMONWEALTH AVE, SUITE U3-A
BOSTON, MA 02116
Suffolk County (617) 259-1895
DR. RACHEL REDLENER PSY.D.
Psychologist (Clinical)
160 COMMONWEALTH AVE, SUITE U-3
BOSTON, MA 02116
Suffolk County (617) 259-1895
DR. JORDAN POLLAK HIMMEL PSY.D.
Psychologist
160 COMMONWEALTH AVE, SUITE U-3
BOSTON, MA 02116
Suffolk County (617) 259-1895

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 Stacey Kimmelman's NPI number?

The NPI number for Stacey Kimmelman is 1225195126. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Stacey Kimmelman located?

Stacey Kimmelman practices at 160 Commonwealth Ave Suite U3, Boston, MA 02116. The listed phone number is (617) 259-1895.

What is Stacey Kimmelman's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Kimmelman was last updated on November 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.