1. Home
  2. Directory
  3. California
  4. San Mateo
  5. Psychologist
  6. NPI Profile

KIMBERLY BAUSBACK
NPI 1538881982
Psychologist - Clinical in San Mateo, CA

Active since September 13, 2022
116 E 25TH AVE STE C, SAN MATEO, CA 94403(650) 336-0443 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 7, 2024, Jun 10, 2024, Sep 13, 2022 (3 updates tracked since 2022).

About Kimberly Bausback NPPES

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

KIMBERLY BAUSBACK (NPI 1538881982) is an individual clinical provider in San Mateo, California, licensed in California (33564) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1538881982
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKIMBERLY BAUSBACK
Location Address116 E 25TH AVE STE CSan Mateo, CA 94403-2596
Mailing Address116 E 25th Ave Ste CSan Mateo, CA 94403-2596
Phone(650) 336-0443
Sole ProprietorYes
Enumeration DateSeptember 13, 2022
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1538881982 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 · 33564
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.
116 E 25TH AVE STE C, San Mateo, CA 94403
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

DR. JENNA KHOURY MOGANNAM PHD
Psychologist (Clinical)
116 E 25TH AVE STE C
SAN MATEO, CA 94403
San Mateo County (415) 238-8513

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 Bausback's NPI number?

The NPI number for Kimberly Bausback is 1538881982. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Kimberly Bausback located?

Kimberly Bausback practices at 116 E 25th Ave Ste C, San Mateo, CA 94403. The listed phone number is (650) 336-0443.

What is Kimberly Bausback's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Bausback was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.