DR. ELLI KIMBAUER PSY.D.
NPI 1245249523
Psychologist - Clinical in Crescent City, CA

Q: What is Elli Kimbauer's NPI number?

The NPI number for Elli Kimbauer is 1245249523. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Elli Kimbauer'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 Elli Kimbauer was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 05, 2006

1080 MASON MALL, 6A, CRESCENT CITY, CA 95531(707) 464-7662(707) 464-7864 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Elli Kimbauer Psy.d. NPPES

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

DR. ELLI KIMBAUER PSY.D. (NPI 1245249523) is an individual clinical provider in Crescent City, California, licensed in California (PSY 18816) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1245249523

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ELLI KIMBAUERCredential: PSY.D.

Location Address1080 MASON MALL, 6ACrescent City, CA 95531-4334

Mailing Address1080 Mason Mall, 6aCrescent City, CA 95531-4334 · (707) 464-7662 · Fax (707) 464-7864

Phone(707) 464-7662

Fax(707) 464-7864

Sole ProprietorYes

Enumeration DateAugust 5, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1245249523 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 CA · PSY 18816

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.

1080 MASON MALL, Crescent City, CA 95531

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Other Identifiers 1

Medicare UPINOPL188161CA

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 Elli Kimbauer's NPI number?

The NPI number for Elli Kimbauer is 1245249523. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Elli Kimbauer located?

Elli Kimbauer practices at 1080 Mason Mall 6A, Crescent City, CA 95531. The listed phone number is (707) 464-7662.

What is Elli Kimbauer'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 Elli Kimbauer was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.