Provider Type Icon

DR. CHARLES A. KIMBELL PHD HSPP NPI 1740257021


NPI Information

NPI: 1740257021
Provider Name: DR. CHARLES A. KIMBELL, PHD, HSPP
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
655 S CLARIZZ BLVD
BLOOMINGTON, IN
ZIP 47401
Phone: (812) 355-5890
Get Directions

DR. Charles A. Kimbell, PHD, HSPP is a clinical psychologist in Bloomington, IN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Charles A. Kimbell, PHD, HSPP NPI is 1740257021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

655 S CLARIZZ BLVD
BLOOMINGTON, IN
ZIP 47401-523
Phone: (812) 355-5890
Fax: (812) 355-5895

The enumeration date for this NPI number is 3/4/2006 and was last updated on 10/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist20040582INDIANANo
2103T00000XPsychologist33522TEXASNo
3103TC0700XPsychologistClinical33522TEXASNo
4103TC0700XPsychologistClinical20040582INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1227860CMEDICARE ID-TYPE UNSPECIFIEDINDIANA
2100332490AMEDICAIDINDIANA
3000000316234OTHERANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.