KIM ANN CORNISH PH.D.
NPI 1922176551
Psychologist - Clinical in Elk Grove, CA

Q: What is Kim Cornish's NPI number?

The NPI number for Kim Cornish is 1922176551. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Kim Cornish's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kim Cornish was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment

8788 ELK GROVE BLVD., BLDG. 2, STE F, ELK GROVE, CA 95624(530) 514-1066(916) 687-3140 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Aug 14, 2018 (2 updates tracked since 2018).

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About Kim Ann Cornish Ph.d. NPPES

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

KIM ANN CORNISH PH.D. (NPI 1922176551) is an individual clinical provider in Elk Grove, California, licensed in California (PSY18648) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elk Grove, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1922176551

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKIM ANN CORNISHCredential: PH.D.

Location Address8788 ELK GROVE BLVD., BLDG. 2, STE FElk Grove, CA 95624

Mailing Address8698 Elk Grove Blvd.,, Suite 1, Pmb 170Elk Grove, CA 95624 · (530) 514-1066 · Fax (916) 687-3140

Phone(530) 514-1066

Fax(916) 687-3140

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateDecember 1, 2006

Last NPPES UpdateMay 14, 20252 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1922176551 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 · PSY18648

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.

8788 ELK GROVE BLVD., Elk Grove, CA 95624

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Secondary Practice Location 1

Location 18920 Emerald Park Dr, Suite IElk Grove, CA 95624-2380 · Phone (530) 514-1066 · Fax (916) 509-9502

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

Kim Ann Cornish 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 ID8628382504

PECOS Enrollment IDI20150805009236

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95624 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

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

Other Providers at the Same Location NPPES 2

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

DENISE MARIA SANCHEZ

Counselor (Mental Health)

8788 ELK GROVE BLVD.
ELK GROVE, CA 95624

Sacramento County (916) 686-9209

MARIA G. REYES BONDS LCSW

Social Worker (Clinical)

8788 ELK GROVE BLVD., BUILDING 1, SUITE J
ELK GROVE, CA 95624

Sacramento County (844) 400-6463

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 Kim Cornish's NPI number?

The NPI number for Kim Cornish is 1922176551. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kim Cornish located?

Kim Cornish practices at 8788 Elk Grove Blvd. Bldg. 2, Ste F, Elk Grove, CA 95624. The listed phone number is (530) 514-1066.

What is Kim Cornish's specialty?

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

Is Kim Cornish enrolled in Medicare?

Yes. Kim Cornish 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 Kim Cornish was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.