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Dr. Kimberly Thiessen, PsyD

Psychologist in Tucson, AZ. Individual provider (NPI-1).

NPI number1699259986
StatusActive
Last updated in NPPESNov 20, 2018

Details

NPI
1699259986
Entity type
Individual (NPI-1)
Name
Dr. Kimberly Thiessen
Credential
PsyD
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 21, 2018
Last updated
Nov 20, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
Medicare opt-out
Oct 27, 2022 to Oct 27, 2026
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistPSY-005019AZYes

Practice location

1022 W Ina Rd Ste 9
Tucson, AZ 85704-3109

Phone 520-528-2233

Mailing address

1022 W Ina Rd Ste 9
Tucson, AZ 85704-3109

Phone 520-528-2233

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 Psychologist providers in Tucson, AZ

All 154 Psychologist providers in Tucson · All 24,104 providers in Tucson

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