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

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: July 19, 2026.

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
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

Other Identifiers 1

Medicare UPINOPL188161CA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245249523, enumerated as an "individual" on August 05, 2006.

The provider is located at 1080 MASON MALL 6A CRESCENT CITY, CA 95531 and the phone number is (707) 464-7662.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.