DR. KIMBERLY COLLINS PH.D.
NPI 1568144111
Psychologist in Champaign, IL

Active since August 03, 2023PECOS EnrolledAccepts Medicare Assignment
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 365-2855 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly Collins Ph.d. NPPES

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

DR. KIMBERLY COLLINS PH.D. (NPI 1568144111) is an individual psychologist in Champaign, Illinois, licensed in Illinois (071005299) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Urbana, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1568144111
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KIMBERLY COLLINSCredential: PH.D.
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address611 W Park St, FapcUrbana, IL 61801
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 3, 2023
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 5, 2024
NPI 1568144111 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 IL · 071005299
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.
1802 S MATTIS AVE, Champaign, IL 61821

Secondary Practice Location 1

Location 1611 W Park StUrbana, IL 61801-2529 · Phone (217) 902-5552

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly Collins 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 ID2567816606
PECOS Enrollment IDI20230924000079
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.

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.

Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Physical Medicine & Rehabilitation
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Physician Assistant (Surgical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Nurse Practitioner (Psychiatric/Mental Health)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821

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 Collins's NPI number?

The NPI number for Kimberly Collins is 1568144111. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Kimberly Collins located?

Kimberly Collins practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 365-2855.

What is Kimberly Collins's specialty?

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

Is Kimberly Collins enrolled in Medicare?

Yes. Kimberly Collins 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.

When was this NPI record last updated?

The NPPES record for Kimberly Collins was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.