LAVERN H KIMBROUGH
NPI 1295143584
Psychologist in Southfield, MI

Active since July 30, 2014
17105 W 12 MILE RD, SOUTHFIELD, MI 48076(248) 557-8390(248) 557-6427 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lavern H Kimbrough NPPES

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

LAVERN H KIMBROUGH (NPI 1295143584) is an individual psychologist in Southfield, Michigan, licensed in Michigan (6301013646) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1295143584
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLAVERN H KIMBROUGH
Location Address17105 W 12 MILE RDSouthfield, MI 48076-2104
Mailing Address17105 W 12 Mile RdSouthfield, MI 48076-2104 · (248) 557-8390 · Fax (248) 557-6427
Fax(248) 557-6427
Sole ProprietorNo
Enumeration DateJuly 30, 2014
NPI 1295143584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301013646
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
17105 W 12 MILE RD, Southfield, MI 48076

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.

Social Worker
17105 W 12 MILE RD
SOUTHFIELD, MI 48076
Counselor
17105 W 12 MILE RD
SOUTHFIELD, MI 48076
Community/Behavioral Health
17105 W 12 MILE RD
SOUTHFIELD, MI 48076
Counselor
17105 W 12 MILE RD
SOUTHFIELD, MI 48076
Counselor (Professional)
17105 W 12 MILE RD
SOUTHFIELD, MI 48076
Counselor (Mental Health)
17105 W 12 MILE RD
SOUTHFIELD, MI 48076
Psychologist
17105 W 12 MILE RD
SOUTHFIELD, MI 48076

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 Lavern Kimbrough's NPI number?

The NPI number for Lavern Kimbrough is 1295143584. It was assigned to this individual provider in the NPPES registry on July 30, 2014.

Where is Lavern Kimbrough located?

Lavern Kimbrough practices at 17105 W 12 Mile Rd, Southfield, MI 48076. The listed phone number is (248) 557-8390.

What is Lavern Kimbrough's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Lavern Kimbrough was last updated on July 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.