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DR. KIMBERLY SUE WALITZER PHD
NPI 1275003659
Psychologist - Addiction (Substance Use Disorder) in Brockport, NY

Active since November 28, 2018
300 WEST AVE, BROCKPORT, NY 14420(585) 637-3905(585) 637-2375 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly Sue Walitzer Phd NPPES

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

DR. KIMBERLY SUE WALITZER PHD (NPI 1275003659) is an individual addiction (substance use disorder) provider in Brockport, New York, licensed in New York (011162) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1275003659
Entity TypeIndividualFemale
Primary Taxonomy103TA0400X
Provider Legal NameDR. KIMBERLY SUE WALITZERCredential: PHD
Location Address300 WEST AVEBrockport, NY 14420-1118
Mailing Address300 West AveBrockport, NY 14420-1118 · (585) 637-3905 · Fax (585) 637-4990
Phone(585) 637-3905
Fax(585) 637-2375
Sole ProprietorNo
Enumeration DateNovember 28, 2018
✔ NPI 1275003659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in NY · 011162
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
300 WEST AVE, Brockport, NY 14420
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Other Providers at the Same Location NPPES 20

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

MS. KAREN ALLEN RDH
Dental Hygienist
300 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 637-5319
JOHN L HOFFMANN MD
Family Medicine
300 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 637-3905
ALISA KIM D.M.D.
Dentist
300 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 637-3905
TRISTA JAMIE TEETS
Nurse Practitioner (Family)
300 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 637-3905
MICHELLE L DAMICO
Technician/Technologist (Optician)
300 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 637-3905
YEN-TUNG ANDY TENG DDS
Dentist (General Practice)
300 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 706-1771
MS. BAMBI JONES-OLSEN CDA
Dental Assistant
300 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 637-3905
DR. MARY R HAMILTON D.D.S.
Dentist
300 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 637-3905

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 Walitzer's NPI number?

The NPI number for Kimberly Walitzer is 1275003659. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Kimberly Walitzer located?

Kimberly Walitzer practices at 300 West Ave, Brockport, NY 14420. The listed phone number is (585) 637-3905.

What is Kimberly Walitzer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Kimberly Walitzer was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.