KIMI CARSON PHD NPI 1518925262

NPI Information

NPI: 1518925262
Provider Name: KIMI CARSON, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
75 KINGS HIGHWAY CUTOFF
5TH FLOOR
FAIRFIELD, CT
ZIP 06824
Phone: (203) 333-1133
Get Directions

Kimi Carson, PHD is a clinical neuropsychologist in Fairfield, CT. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Kimi Carson, PHD NPI is 1518925262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75 KINGS HIGHWAY CUTOFF
5TH FLOOR
FAIRFIELD, CT
ZIP 06824-340
Phone: (203) 333-1133

The NPI 1518925262 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 8/1/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		002599	CONNECTICUT	No
2	103G00000X	Clinical Neuropsychologist		002599	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	060002599CT01	OTHER	CONNECTICUT	ANTHEM BLUE CROSS AND BLU
2	P00245270	MEDICARE PIN	CONNECTICUT
3	68001673	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
4	004248218	MEDICAID	CONNECTICUT

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: 4/28/2024

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