1. Home
  2. Directory
  3. Texas
  4. Southlake
  5. Psychologist
  6. NPI Profile

DR. KIMBERLY ELAINE KOMON PHD
NPI 1972385615
Psychologist - Clinical in Southlake, TX

Active since October 17, 2023
502 N CARROLL AVE STE 120, SOUTHLAKE, TX 76092(682) 292-7012 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kimberly Elaine Komon Phd NPPES

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

DR. KIMBERLY ELAINE KOMON PHD (NPI 1972385615) is an individual clinical provider in Southlake, Texas, licensed in Texas (34352) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1972385615
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIMBERLY ELAINE KOMONCredential: PHD
Location Address502 N CARROLL AVE STE 120Southlake, TX 76092-6449
Mailing Address1012 Broken Wheel TrlAubrey, TX 76227-1284 · (972) 971-9824
Phone(682) 292-7012
Sole ProprietorNo
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1972385615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 34352
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 · SchoolTaxonomy 103TS0200X · License 33548 (TX)
502 N CARROLL AVE STE 120, Southlake, TX 76092
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 3

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

AMANDA BROOKE CARNES LPC
Counselor (Professional)
502 N CARROLL AVE STE 120
SOUTHLAKE, TX 76092
Tarrant County (682) 292-7012
DR. LATASHA D GREENE
Psychologist (Clinical)
502 N CARROLL AVE STE 120
SOUTHLAKE, TX 76092
Tarrant County (682) 292-7012
JENNIFER DEPETRO PH.D.
Psychologist (Clinical)
502 N CARROLL AVE STE 120
SOUTHLAKE, TX 76092
Tarrant County (682) 292-7012

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 Komon's NPI number?

The NPI number for Kimberly Komon is 1972385615. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Kimberly Komon located?

Kimberly Komon practices at 502 N Carroll Ave Ste 120, Southlake, TX 76092. The listed phone number is (682) 292-7012.

What is Kimberly Komon's specialty?

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

What insurance does Kimberly Komon accept?

Health plans from Blue Cross and Blue Shield of Texas list Kimberly Komon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Komon was last updated on October 17, 2023. 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.