CHARLOTTE M. KIMMEL (NPI# 1962918185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962918185 |
| Entity Type | Individual |
| Full Name | CHARLOTTE M. KIMMEL |
| Credential | PH.D. |
| Practice Address |
2000 W 2nd Ave Corsicana TX 75110-2510 |
| Mailing Address |
Po Box 1478 Mexia TX 76667-1478 |
| Practice Telephone | 9033902300 |
| Mailing Telephone | 9033902200 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
23853 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2000 W 2ND AVE |
| City | CORSICANA |
| State | TX |
| Zip Code | 75110-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285762120 | Philip Raymond Taft | Psychologist | 2000 W 2nd Ave, Suite B, Corsicana, TX 75110-2510 | 2007-03-01 |
| 1255815189 | Edwin Wayne Miller | Counselor | 2000 W 2nd Ave, Corsicana, TX 75110-2510 | 2018-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881161750 | Christy Michelle Childers | Licensed Vocational Nurse | 118 S 31st Street, Corsicana, TX 75110 | 2018-10-30 |
| 1609355825 | Vi Truong | Pharmacist | 201 S 15th, Corsicana, TX 75110 | 2018-08-08 |
| 1780174383 | Nanine Marie Dickson | Counselor | 1522 N. 24th Corsicana, Tx, Corsicana, Tx, TX 75110 | 2018-05-18 |
| 1245776897 | Family and Child Guidance Center | Counselor | 317 North 12th, Suite 1, Corsicana, TX 75110 | 2017-01-06 |
| 1033567862 | Matthew Oakden | Physical Therapist | 3201 West Tx-22, Corsicana, TX 75110 | 2016-06-02 |
| 1346682572 | Byron E. Advent | Optometrist | 105 W. 7th Ave, Suite 800, Corsicana, TX 75110 | 2013-07-30 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1528361862 | Pm Management - Corsicana Nc IIi LLC | Skilled Nursing Facility | 3300 West 2nd Ave., Corsicana, TX 75110 | 2010-12-08 |
| 1245551423 | Care-a-lot Home Health Agency, Inc | Home Health | 1725 N. Beaton, Corsicana, TX 75110 | 2010-06-22 |
| 1063735561 | Tina Marie Hill | Physical Medicine & Rehabilitation | 3301 W. Park Row, Corsicana, TX 75110 | 2010-03-11 |
| Find all providers in zip 75110 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477044220 | Carl Normand Edwards | Psychologist | 4113 Sunflower Ln, Temple, TX 76502-4803 | 2018-05-27 |
| 1174983423 | Heather Nicole Twedell | Psychologist | 2770 Main St Ste 139, Frisco, TX 75033-4357 | 2016-02-29 |
| 1942629035 | Blake Robert Harris | Psychologist | 11010 Domain Dr, Apt 11331, Austin, TX 78758-7711 | 2014-04-16 |
| 1740551233 | Heather L Holder | Psychologist | 8627 Cinnamon Creek Dr Ste 601, San Antonio, TX 78240-1482 | 2012-01-16 |
| 1720101850 | Timothy James Proctor | Psychologist | 11882 Greenville Ave Ste 107, Dallas, TX 75243-3567 | 2007-04-06 |
| 1124140058 | Antoinette Rose Mcgarrahan | Psychologist | 12820 Hillcrest Rd Ste C125, Dallas, TX 75230-1526 | 2007-04-03 |
| 1689708125 | Marilyn Gayle Nobles | Psychologist | 2606 Presidio Dr Apt 4, Edinburg, TX 78539-3314 | 2007-03-15 |
| 1326180399 | Mary Alice Conroy | Psychologist | 794 Elkins Lk, Huntsville, TX 77340-7319 | 2007-02-13 |
| 1932111747 | Tim Branaman | Psychologist | 600 W Campbell Rd Ste 2, Richardson, TX 75080-3357 | 2006-08-12 |
| 1205365616 | David Edwin Mills Jr. | Psychologist | 1200 E. Brin Street, Terrell, TX 75161 | 2017-06-08 |
| 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.