KIMBERLY R FREEMAN (NPI# 1932347481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932347481 |
| Entity Type | Individual |
| Full Name | KIMBERLY R FREEMAN |
| Credential | PHD |
| Practice Address |
11370 Anderson St Ste B100 Loma Linda CA 92354-3450 |
| Mailing Address |
File # 54701 Los Angeles CA 90074-0001 |
| Practice Telephone | 9095582848 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2011-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 17374 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY173740 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396212106 | Kimberly Jo Freeman | Registered Nurse | 7508 Ventura Dr, Cheyenne, WY 82009-2044 | 2018-10-30 |
| 1740656818 | Kimberly Willey Freeman | Internal Medicine | 7550 Wolf River Blvd Ste 102, Germantown, TN 38138-1779 | 2015-08-12 |
| 1275951626 | Kimberly Princing Freeman | Nutritionist | 3005 B South Memorial Drive, Greenville, NC 27834 | 2014-04-02 |
| 1134308265 | Kimberly Kay Freeman | Licensed Practical Nurse | 501 4th Ave, Crestview, FL 32536-2539 | 2007-10-25 |
| 1720090947 | Kimberly Mellencamp Freeman | Clinical Nurse Specialist | 2325 18th St, Suite 210, Columbus, IN 47201-5388 | 2006-08-13 |
| 1952819807 | Kimberly Freeman | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2018-01-12 |
| 1215488051 | Kimberly Freeman | Physical Therapy Assistant | 1185 W Carmel Dr Bldg C, Carmel, IN 46032-8708 | 2016-10-17 |
| 1154746386 | Kimberly Freeman | Physical Therapist | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2014-02-25 |
| 1760740153 | Kimberly Freeman | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2012-04-24 |
| 1174810220 | Kimberly Dawn Freeman | Speech-Language Pathologist | 423 W Pine St, Houston, MO 65483-1147 | 2011-07-08 |
| Street Address |
11370 ANDERSON ST STE B100 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942230966 | Laura D Nist | Psychiatry & Neurology | 11370 Anderson St Ste B100, Loma Linda, CA 92354 | 2006-07-04 |
| 1508200940 | Mohammad Dastjerdi | Psychiatry & Neurology | 11370 Anderson St Ste B100, Loma Linda, CA 92354-3450 | 2013-04-27 |
| 1306072319 | Pantea Zohrevand | Internal Medicine | 11370 Anderson St Ste B100, Loma Linda, CA 92354-3450 | 2009-06-04 |
| 1134387798 | Paul Samuel Spanel | Psychiatry & Neurology | 11370 Anderson St Ste B100, Loma Linda, CA 92354 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535968 | Inland Psychiatric Medical Group Inc | Psychologist | 11306 Mountain View Ave Ste A, Loma Linda, CA 92354-3832 | 2019-08-30 |
| 1982705091 | Virginia May Tams | Psychologist | 11486 Benton St, Loma Linda, CA 92354-3680 | 2006-09-25 |
| 1033159686 | Diane E. Bunker | Psychologist | Jerry L. Pettis Vamc, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-06-08 |
| 1487603924 | Faculty Physicians and Surgeons of Llusm | Psychologist | 11130 Anderson St, Suite 117, Loma Linda, CA 92354-2802 | 2006-05-10 |
| 1275088262 | Veronica Llamas | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2016-08-18 |
| 1588117071 | Jessica Briana Mcclintock | Psychologist | 25455 Barton Rd Ste 204b, Loma Linda, CA 92354-3130 | 2016-08-01 |
| 1346610979 | Gregory Scott Foley | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2015-09-24 |
| 1619303161 | Elizabeth Welsh | Psychologist | 11201 Benton St, 116a, Loma Linda, CA 92357-1000 | 2013-09-16 |
| 1164770210 | Anna Marie Medina | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2012-08-21 |
| 1548543382 | Kendra Tracy | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2011-09-27 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.