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DR. KIMBERLEE MARIE ROY PH.D.
NPI 1386877397
Psychologist - Clinical Child & Adolescent in Salt Lake City, UT

Active since August 25, 2009PECOS Enrolled
100 MARIO CAPECCHI DR, DIVISION OF BEHAVIORAL HEALTH (MS52), SALT LAKE CITY, UT 84113(801) 662-6755(801) 662-6756 Get Directions Write a Review

NPPES record last updated: August 25, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kimberlee Marie Roy Ph.d. NPPES

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

DR. KIMBERLEE MARIE ROY PH.D. (NPI 1386877397) is an individual clinical child & adolescent provider in Salt Lake City, Utah, licensed in Utah (7364557-2501) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386877397
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. KIMBERLEE MARIE ROYCredential: PH.D.
Location Address100 MARIO CAPECCHI DR, DIVISION OF BEHAVIORAL HEALTH (MS52)Salt Lake City, UT 84113-1103
Mailing Address100 Mario Capecchi Dr, Division Of Behavioral Health (ms52)Salt Lake City, UT 84113-1103 · (801) 662-6755 · Fax (801) 662-6756
Phone(801) 662-6755
Fax(801) 662-6756
Sole ProprietorNo
Enumeration DateAugust 25, 2009
✔ NPI 1386877397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in UT · 7364557-2501
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Other Identifiers 1

Other7364557-2501UT · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberlee Marie Roy Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kimberlee Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Vermont Medical Center Inc
1,968 mi
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
NPI 1659309615 (802) 847-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KAITLIN CARPENTER
Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
DR. NICOLE JEFFREYS MD
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3578
SARAH ZOBELL NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1619
MRS. GIOVANA MARTENDAL KING NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4100
DR. STEVEN SHI-FONG WU
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2900
KRISTA SKYE VIAU MS, RD, CSP, CD
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-9590
DR. ANDREW GERALD SMITH M.D.
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3673
MARY HUNT MARTIN MD
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5400

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 Kimberlee Roy's NPI number?

The NPI number for Kimberlee Roy is 1386877397. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Kimberlee Roy located?

Kimberlee Roy practices at 100 Mario Capecchi Dr Division Of Behavioral Health (ms52), Salt Lake City, UT 84113. The listed phone number is (801) 662-6755.

What is Kimberlee Roy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Kimberlee Roy enrolled in Medicare?

Yes. Kimberlee Roy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberlee Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlee Roy reassigns Medicare benefits to University Of Vermont Medical Center Inc (Burlington, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberlee Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberlee Roy accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kimberlee Roy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberlee Roy was last updated on August 25, 2009. 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.