Kimberly Rundstrom, Ph.D.
Psychologist, School in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1497606263
StatusActive
Last updated in NPPESFeb 6, 2026
Details
- NPI
- 1497606263
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Rundstrom
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2026
- Certification date
- Feb 6, 2026
- Last updated
- Feb 6, 2026
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 |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | CA | Yes |
Practice location
1500 Lizzie St Ste G-1San Luis Obispo, CA 93401-3062
Phone 805-596-4055
Mailing address
1500 Lizzie St Ste G-1San Luis Obispo, CA 93401-3062
Phone 805-596-4055
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.
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All 12 School Psychologist providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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