JON KIMPTON (NPI# 1134136963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134136963 |
| Entity Type | Individual |
| Full Name | JON KIMPTON |
| Credential | PH.D. |
| Practice Address |
481a Kingstown Rd Wakefield RI 02879-3607 |
| Practice Telephone | 4017892306 |
| Practice Fax Number | 4017892307 |
| Mailing Telephone | 4017892306 |
| Mailing Fax Number | 4017892307 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | PS00701 | RI | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | PS00701 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS/BLUE SHIELD RI | 23359-0 | 01 |
| RI | UNITED HEALTHCARE | 0500760 | 01 |
| RI | UNITED BEHAVIORAL HEALTH | 61-59401 | 01 |
| RI | BLUE CHIP | 408420 | 01 |
| RI | RI LICENSE PSYCHOLOGY | PS00701 | 01 |
| RI | JK31307 | 05 |
| Street Address |
481A KINGSTOWN RD |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326274937 | Katherine E Meehan | Marriage & Family Therapist | 481a Kingstown Rd, Suite E1, Wakefield, RI 02879-3607 | 2009-06-09 |
| 1134375363 | Bertram Gibbes, Ph.d., Inc. | Psychologist | 481a Kingstown Rd, Suite D, Wakefield, RI 02879-3607 | 2008-08-07 |
| 1295801900 | Bertram St Cyr Linard Gibbes | Psychologist | 481a Kingstown Rd, Suite D4, Wakefield, RI 02879-3607 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477721876 | Ira Randy Kulman | Clinical Neuropsychologist | 1058 Kingstown Rd, Wakefield, RI 02879-2487 | 2008-02-19 |
| 1528258530 | Kathleen Mary Rafuse Parnell | Clinical Neuropsychologist | 512 Main St, Wakefield, RI 02879-4006 | 2007-07-26 |
| 1326169277 | The Center for Neuropsychology & Learning Disorders Inc | Clinical Neuropsychologist | 512 Main St, Wakefield, RI 02879 | 2007-04-02 |
| 1215055603 | Brett Leimkhuhler | Clinical Neuropsychologist | 512 Main St, Wakefield, RI 02879 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299661 | Laura Elizabeth Korthauer Gilmour | Clinical Neuropsychologist | 110 Lockwood St Ste 430, Providence, RI 02903-4815 | 2020-06-15 |
| 1992339501 | Carmen G Armengol | Clinical Neuropsychologist | 58 Rochambeau Ave, Providence, RI 02906-1908 | 2020-02-24 |
| 1689140121 | Ef Advantage LLC | Clinical Neuropsychologist | 989 Reservoir Ave Ste 4, Cranston, RI 02910-5137 | 2018-10-23 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| 1679064935 | Marlana Joyce Borgos | Clinical Neuropsychologist | 10 Howland Farm Rd, East Greenwich, RI 02818-2651 | 2018-05-22 |
| 1902329667 | Neuroperformance Group, L.l.c | Clinical Neuropsychologist | Two Regency Plaza, Suite 3, Providence, RI 02903 | 2017-07-24 |
| 1871856484 | Rachel K Baldwin | Clinical Neuropsychologist | 355 Hope Street, 2nd Floor, Unit 6, Providence, RI 02906 | 2012-06-19 |
| 1932338951 | Melissa Perkins-banas | Clinical Neuropsychologist | 260 W Exchange St Ste 210, Providence, RI 02903-1000 | 2009-07-12 |
| 1114146958 | Barbara Ann Baron | Clinical Neuropsychologist | 175 Progress St, Lincoln, RI 02865-3015 | 2007-04-24 |
| 1275668006 | East Bay Neurology Professional Corporation | Clinical Neuropsychologist | 333 School St Ste 216, Pawtucket, RI 02860 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.