DR. KIMBERLY LIPSON POLLOCK (NPI# 1790078483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790078483 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY LIPSON POLLOCK |
| Credential | PH.D. |
| Practice Address |
5220 S 6th Street Rd Springfield IL 62703-5735 |
| Practice Telephone | 2175258332 |
| Practice Fax Number | 2177891420 |
| Mailing Telephone | 2175258332 |
| Mailing Fax Number | 2177891420 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071.005553 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932573318 | Kimberly Jo Pollock | Nurse Practitioner | 200 Mlk Jr Blvd, Wichita Falls, TX 76301-1152 | 2015-11-22 |
| 1497924435 | Kimberly Ann Pollock | Speech-Language Pathologist | 1350 Old Freeport Rd, Suite 2ar, Pittsburgh, PA 15238-3122 | 2008-02-25 |
| Street Address |
5220 S 6TH STREET RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336168269 | Hetal A Shah | Physical Therapist | 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 | 2006-07-19 |
| 1376093740 | Stephanie Nicole Fahey | Speech-Language Pathologist | 5220 S 6th Street Rd, Suite 1700 (noll Medical Pavillion, The Autism Clinic), Springfield, IL 62703-5735 | 2016-10-10 |
| 1285096560 | Meika Valerio | Behavioral Analyst | 5220 S 6th Street Rd, Suite 1700, Springfield, IL 62703-5735 | 2016-03-24 |
| 1770941957 | Katherine Docter | Behavioral Analyst | 5220 S 6th Street Rd, Springfield, IL 62703-5735 | 2016-02-03 |
| 1619332541 | Angela Westwood | Speech-Language Pathologist | 5220 S 6th Street Rd, Ste. 1700, Springfield, IL 62703-5735 | 2015-12-18 |
| 1962877571 | Anne Marie Wingbermuehle | Behavioral Analyst | 5220 S 6th Street Rd, Suite 1700, Springfield, IL 62703-5735 | 2015-12-08 |
| 1528432119 | The Hope School Dba The Autism Clinic | Counselor | 5220 S 6th Street Rd, Suite 1700, Springfield, IL 62703-5735 | 2015-11-19 |
| 1518343722 | Board of Trustees of Southern Illinois University | Clinic/Center | 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 | 2015-08-11 |
| 1457774416 | Brianne Satorius | Counselor | 5220 S 6th Street Rd, Suite 2400, Springfield, IL 62703-5735 | 2014-01-28 |
| 1114358199 | Jamie Lee Blakeman | Counselor | 5220 S 6th Street Rd, Suite 2400, Springfield, IL 62703-5735 | 2013-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689103715 | Jessica Elizabeth Woods | Psychologist | 69 Worrell Dr, Springfield, PA 19064-3346 | 2017-06-12 |
| 1518281575 | Maura Lynn Gomez | Psychologist | 71 Colfax Rd, Springfield, NJ 07081-1118 | 2010-03-19 |
| 1902993884 | Kathleen O Galarza | Psychologist | 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 | 2006-10-10 |
| 1912550146 | Leslee Rae Uhrich | Psychologist | 3300 Main Street, 4th Fl, Springfield, MA 01107-1112 | 2019-07-17 |
| 1922556372 | Colleen Brown | Psychologist | 1489 Baltimore Pike, Suite 250, Springfield, PA 19064-3958 | 2016-09-14 |
| 1376994079 | Loren Wright | Psychologist | 1695 Main St, # 400, Springfield, MA 01103-1348 | 2016-06-24 |
| 1982943205 | Karyn Hall Ewart | Psychologist | 8519 Tuttle Rd, Building B, Springfield, VA 22152-1508 | 2013-02-06 |
| 1770891954 | Jennifer Carolina Macgregor | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104 | 2010-09-21 |
| 1518190222 | Kelly Ann Maynes | Psychologist | 3300 Main St, 4th Floor, Ste A, Springfield, MA 01107-1112 | 2009-08-27 |
| 1316177801 | Bernard J. Barile | Psychologist | 110 Maple St, Springfield, MA 01105-1864 | 2009-07-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on DR. KIMBERLY LIPSON POLLOCK.
| 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.