Dr. Kimberly Vandermark Grimsley
Psychologist, Clinical in Texas City, TX. Individual provider (NPI-1).
NPI number1013666866
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1013666866
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kimberly Vandermark Grimsley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2022
- Certification date
- Nov 27, 2023
- Last updated
- Nov 27, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 39052 | TX | Yes |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 103TH0100X | Psychologist, Health Service | – | – | |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | – | – | |
| 103TF0200X | Psychologist, Forensic | – | – | |
| 103TH0004X | Psychologist, Health | – | – | |
| 103TP0814X | Psychologist, Psychoanalysis | – | – | |
| 103TR0400X | Psychologist, Rehabilitation | – | – |
Other names
- Kimberly Lynch (Professional Name)
Practice location
1501 N Amburn Rd Ste 12Texas City, TX 77591-2466
Phone 409-797-4174 · Fax 409-655-5238
Mailing address
1501 N Amburn Rd Ste 12Texas City, TX 77591-2466
Phone 409-797-4174 · Fax 409-655-5238
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Psychologist providers in Texas City, TX
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