DR. KIMBERLY MCGUIRE PH.D.
NPI 1518926682
Psychologist - Clinical in West Orange, NJ

Active since March 18, 2006PECOS EnrolledAccepts Medicare Assignment
64.56/100
CMS Quality Rating
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052(973) 731-3600 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kimberly Mcguire Ph.d. NPPES

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

DR. KIMBERLY MCGUIRE PH.D. (NPI 1518926682) is an individual clinical provider in West Orange, New Jersey, licensed in New Jersey (061-A307) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1518926682
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIMBERLY MCGUIRECredential: PH.D.
Location Address1199 PLEASANT VALLEY WAYWest Orange, NJ 07052-1424
Mailing Address1199 Pleasant Valley WayWest Orange, NJ 07052-1424 · (973) 731-3600
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 18, 2006
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1518926682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in NJ · 061-A307✔ Licensed in CA · 19650
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.
Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X · License 343885 (LA)
1199 PLEASANT VALLEY WAY, West Orange, NJ 07052

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly Mcguire Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284611468
PECOS Enrollment IDI20180808000427
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 Kimberly Mcguire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
1199 PLEASANT VALLEY WAY
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 58 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
405 services392 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
85 services54 patients
Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
29 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

64.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.63
Improvement Activities40
Cost26.39

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.

Speech-Language Pathologist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Physical Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Speech-Language Pathologist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Occupational Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Physical Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Registered Nurse
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Physical Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Occupational Therapist
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052

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 Mcguire's NPI number?

The NPI number for Kimberly Mcguire is 1518926682. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Kimberly Mcguire located?

Kimberly Mcguire practices at 1199 Pleasant Valley Way, West Orange, NJ 07052. The listed phone number is (973) 731-3600.

What is Kimberly Mcguire's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kimberly Mcguire enrolled in Medicare?

Yes. Kimberly Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kimberly Mcguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mcguire reassigns Medicare benefits to Kessler Professional Services LLC (West Orange, NJ). 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 Kimberly Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Mcguire affiliated with any hospitals?

According to CMS data, Kimberly Mcguire is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Mcguire was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.