DR. KIMBERLY PALMER RAY (NPI# 1851448963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851448963 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY PALMER RAY |
| Credential | PHD, BCBA-D |
| Practice Address |
2001 N. West St. Jackson MS 39202-1037 |
| Mailing Address |
2001 North West St. Jackson MS 39202-1037 |
| Practice Telephone | 6017095526 |
| Practice Fax Number | 6017095527 |
| Mailing Telephone | 6017095526 |
| Mailing Fax Number | 6017095527 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 36618 | MS | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-00-00351 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00119527 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619333085 | Kimberly Ray | Specialist | 131 Ne Highway 99w, Mcminnville, OR 97128 | 2016-01-14 |
| 1912253485 | Kimberly Ray | Speech-Language Pathologist | 1681 E Village Green Rd, Cottonwood Heights, UT 84121-2813 | 2012-08-01 |
| 1124281522 | Kimberly Ann Ray | Social Worker | 744 East Lincoln Hwy, Suite 410, Coatesville, PA 19320 | 2008-07-07 |
| 1679664411 | Kimberly L Ray | Nurse Practitioner | 2409 Highway 70 E, Dickson, TN 37055-6126 | 2006-09-27 |
| 1336798594 | Kimberly Ann Ray | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2019-09-10 |
| 1235649278 | Kimberly S Ray | Case Manager/Care Coordinator | 122 W Center St, Fostoria, OH 44830-2201 | 2017-10-04 |
| 1790225456 | Kimberly Ray | Day Training/Habilitation Specialist | 1208 Highway 371 S, Nettleton, MS 38858-6929 | 2017-02-28 |
| 1609274125 | Kimberly Myles Ray | Social Worker | 3905 Ford Rd, Suite 600, Philadelphia, PA 19131-2824 | 2014-12-16 |
| 1619231958 | Kimberly Ray | Pharmacist | 11 Trieble Ave, Ballston Spa, NY 12020-6010 | 2012-07-02 |
| 1962773044 | Kimberly Denise Ray | Counselor | 3686 Us Highway 331 S, Defuniak Springs, FL 32435-8463 | 2012-01-20 |
| Street Address |
2001 N. WEST ST. |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| 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 |
|---|---|---|---|---|
| 1144792169 | Snake River Consulting LLC | Psychologist | 430 Pine Dr, Jackson, WY 83001-8417 | 2019-01-02 |
| 1972834604 | Sue C Radtke | Psychologist | 4476 Bittersweet Ct, Jackson, WI 53037-9754 | 2010-01-20 |
| 1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
| 1356511562 | John Patterson Thorn | Psychologist | 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 | 2008-03-04 |
| 1013109552 | Terri Martin Revelle | Psychologist | 111 E. Jefferson St., Jackson, NC 27845 | 2007-08-17 |
| 1184830143 | Toby S Altfeld | Psychologist | 156 C West University Parkway, Jackson, TN 38305 | 2007-05-15 |
| 1497968911 | Mollie Wyatt | Psychologist | 4055 I-55 North, Suite 293, Jackson, MS 39211 | 2007-05-08 |
| 1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
| 1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
| 1295877165 | Rose Margaret Hochheiser | Psychologist | 140 King Street, Jackson, WY 83001 | 2007-02-13 |
| Find all providers in JACKSON | ||||
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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.