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Dr. Kimberly E Anzek , PhD

Psychologist β€’ Centerville, OH

Active NPI 1922493535 Individual Practitioner Female Practitioner
Practice location in NPPES

330 N Main St Ste 104
Centerville, OH 454594459

Call 9378136240 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

330 N Main St Ste 104

Centerville, OH 454594459

Telephone 9378136240
Fax 9376198202
Organization at the Same NPPES Address or Phone
Mosaic Psychological Services, Llc Facility NPI 1952292815

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Centerville and Ohio

10 active clinicians are listed under Psychologist with a practice address in Centerville, OH (1,531 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES OH 7288

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0315928 (OH)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 30, 2019

Registered at 330 N MAIN ST STE 104, CENTERVILLE, OH 454594459 (Tel: 9378136240)

πŸ“
Updated Business Mailing Address July 30, 2019

Registered at 330 N MAIN ST STE 104, CENTERVILLE, OH 454594459 (Tel: 9378136240)

βœ…
NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 31, 2015

Registered at 5045 N MAIN ST, SUITE 223, DAYTON, OH 454153698 (Tel: 9372763356)

πŸ“
Business Mailing Address (Initial Record) March 31, 2015

Registered at 5045 N MAIN ST, SUITE 223, DAYTON, OH 454153698 (Tel: 9372763356)

πŸ‘€
Provider Name / Credentials (Initial Record) March 31, 2015

Recorded as KIMBERLY ANZEK, PH.D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Psychologist (license number reported to NPPES: OH 7288)

🟒
Initial NPI Registration & Enumeration March 31, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922493535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2015
Last Update: July 30, 2019
Sole Proprietor: Yes

Mailing Address

330 N Main St Ste 104

Centerville, OH 454594459

Phone: 9378136240

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.