DR. KIMBERLY THIESSEN PSYD
NPI 1699259986
Psychologist in Tucson, AZ

Active since September 21, 2018Opted out of Medicare · through Oct 27, 2026
1022 W INA RD STE 9, TUCSON, AZ 85704(520) 528-2233 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2018, Oct 29, 2018, Sep 21, 2018 (3 updates tracked since 2018).

About Dr. Kimberly Thiessen Psyd NPPES

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

DR. KIMBERLY THIESSEN PSYD (NPI 1699259986) is an individual psychologist in Tucson, Arizona, licensed in Arizona (PSY-005019) and active in the NPI registry since September 2018. She has opted out of Medicare through October 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699259986
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KIMBERLY THIESSENCredential: PSYD
Location Address1022 W INA RD STE 9Tucson, AZ 85704-3109
Mailing Address1022 W Ina Rd Ste 9Tucson, AZ 85704-3109 · (520) 528-2233
Sole ProprietorYes
Enumeration DateSeptember 21, 2018
Last NPPES UpdateNovember 20, 20183 updates tracked since enumeration
NPI 1699259986 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 AZ · PSY-005019
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.
1022 W INA RD STE 9, Tucson, AZ 85704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kimberly Thiessen Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2022 through October 27, 2026.

Opt-Out Effective DateOctober 27, 2022
Opt-Out In Effect ThroughOctober 27, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Thiessen's NPI number?

The NPI number for Kimberly Thiessen is 1699259986. It was assigned to this individual provider in the NPPES registry on September 21, 2018.

Where is Kimberly Thiessen located?

Kimberly Thiessen practices at 1022 W Ina Rd Ste 9, Tucson, AZ 85704. The listed phone number is (520) 528-2233.

What is Kimberly Thiessen's specialty?

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

Is Kimberly Thiessen enrolled in Medicare?

No. Kimberly Thiessen has opted out of Medicare through October 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kimberly Thiessen was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.