Kimberly Paige Holloway (NPI# 1811326515, PAC ID# 3870835622) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1811326515 |
| PAC ID by PECOS | 3870835622 |
| Professional Enrollment ID | I20190429000524 |
| Full Name | Kimberly Paige Holloway |
| Organization Legal Name | PSYCHIATRIC CENTERS AT SAN DIEGO, INC. MED GRP |
| Address |
9620 Chesapeake Dr Suite 206 San Diego CA 92123-1324 |
| Phone Number | 6198146590 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 0143201087 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9620 Chesapeake Dr, Suite 206, San Diego, CA 92123-1324 | 6198146590 | PSYCHIATRIC CENTERS AT SAN DIEGO, INC. MED GRP |
| Organization Legal Name | PSYCHIATRIC CENTERS AT SAN DIEGO, INC. MED GRP |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Lee Gates | Clinical Social Worker | Psychiatric Centers At San Diego, Inc. Med Grp | 221 W Crest St, Suite 102, Escondido, CA 92025-1736 |
| Thomas A Flanagan | Psychiatry | Psychiatric Centers At San Diego, Inc. Med Grp | 6153 Fairmount Ave, San Diego, CA 92120-3407 |
| Noreen M Newmark | Psychiatry | Psychiatric Centers At San Diego, Inc. Med Grp | 1061 Tierra Del Rey, Suite 200, Chula Vista, CA 91910-7881 |
| Martha S Webb | Clinical Social Worker | Psychiatric Centers At San Diego, Inc. Med Grp | 4700 Spring St, Suite 220, La Mesa, CA 91942-0274 |
| Michele Mccarter | Psychologist, Clinical | Psychiatric Centers At San Diego, Inc. Med Grp | 5353 Mission Ctr Rd, Suite 224, San Diego, CA 92108-1304 |
| Gilbert M Jackofsky | Psychologist, Clinical | Psychiatric Centers At San Diego, Inc. Med Grp | 11770 Bernardo Plaza Ct, Suite 370, San Diego, CA 92128-2426 |
| Cheryl A Macdonald | Psychologist, Clinical | Psychiatric Centers At San Diego, Inc. Med Grp | 328 Encinitas Blvd, Suite 100, Encinitas, CA 92024-8704 |
| Pamela Velardi | Nurse Practitioner | Psychiatric Centers At San Diego, Inc. Med Grp | 4700 Spring St, Suite 220, La Mesa, CA 91942-0274 |
| George S Koumaras | Psychologist, Clinical | Psychiatric Centers At San Diego, Inc. Med Grp | 328 Encinitas Blvd, Suite 100, Encinitas, CA 92024-8704 |
| Anil Patel | Psychiatry | Psychiatric Centers At San Diego, Inc. Med Grp | 4700 Spring St, Suite 220, La Mesa, CA 91942-0274 |
| Street Address |
9620 CHESAPEAKE DR SUITE 206 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92123-1324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard J Lichtenstein | Internal Medicine | 8853 Spectrum Blvd, Ste 7111, San Diego, CA 92123 | |
| Kristen M Walters | Allergy/immunology | Rady Children's Hospital - San Diego | 5775 Ruffin Rd, San Diego, CA 92123-1012 |
| Alexander N Greiner | Allergy/immunology | Rady Children's Hospital - San Diego | 5776 Ruffin Rd, San Diego, CA 92123-1013 |
| Nancy K Ostrom | Allergy/immunology | Rady Children's Hospital - San Diego | 5776 Ruffin Rd, San Diego, CA 92123-1013 |
| Kenneth H Lasser | Pathology | Pacific Pathology, Inc. | 9292 Chesapeake Dr, Suite 100, San Diego, CA 92123-1059 |
| John B. Campbell | Pathology | Pacific Pathology, Inc. | 9292 Chesapeake Dr, Suite 100, San Diego, CA 92123-1059 |
| Gregory A Wheeler | Chiropractic | 5482 Complex St, Suite 101, San Diego, CA 92123-1125 | |
| Adrian Brandon Jonan | Anesthesiology | Southern California Permanente Medical Group | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 |
| Brent Christopher Ozaki | Internal Medicine | Southern California Permanente Medical Group | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 |
| Christian N Kelly | Emergency Medicine | Southern California Permanente Medical Group | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 |
| Find all physicians in zip 92123 | |||
| City | SAN DIEGO |
| Zip Code | 92123 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SAN DIEGO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kimberly Paige Holloway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.