Dr Kimberly Elaine Komon, PHD - Psychologist in Southlake, TX

Dr Kimberly Elaine Komon, PHD is a Psychologist - Clinical based in Southlake, Texas. Dr Kimberly Elaine Komon is licensed to practice in Texas (license number 34352) and her current practice location is 502 N Carroll Ave Ste 120, Southlake, Texas. She can be reached at her office (for appointments etc.) via phone at (682) 292-7012.

NPI number for Dr Kimberly Elaine Komon is 1972385615 and her current mailing address is 1012 Broken Wheel Trl, Aubrey, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972385615.

Contact Information

Dr Kimberly Elaine Komon, PHD
502 N Carroll Ave Ste 120,
Southlake, TX 76092-6449
(682) 292-7012
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kimberly Elaine Komon
GenderFemale
SpecialityPsychologist - Clinical
Location502 N Carroll Ave Ste 120, Southlake, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972385615
  • Provider Enumeration Date: 10/17/2023
  • Last Update Date: 10/17/2023

Medical Identifiers

Medical identifiers for Dr Kimberly Elaine Komon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972385615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 33548 (Texas)Secondary
103TC0700XPsychologist - Clinical 34352 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Elaine Komon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kimberly Elaine Komon, PHD
1012 Broken Wheel Trl,
Aubrey, TX 76227-1284

Ph: (972) 971-9824
Dr Kimberly Elaine Komon, PHD
502 N Carroll Ave Ste 120,
Southlake, TX 76092-6449

Ph: (682) 292-7012

Reviews and Comments


Psychologist in Southlake, TX

Dr. Ashley Harrison Noble, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 211 E Southlake Blvd Ste 101, Southlake, TX 76092
Phone: 817-488-3538    
Dr. Kate Stark, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1723 E Southlake Blvd Ste 200, Southlake, TX 76092
Phone: 682-292-7012    
Ryan Edward Holt, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1723 E Southlake Blvd Ste 200, Southlake, TX 76092
Phone: 682-292-7012    
Ms. Avni Vyas, PH.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10725 East Southlake Blvd, 102, Southlake, TX 76092
Phone: 817-618-9307    Fax: 817-977-8553
Dr. Wyatt R Evans, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1723 E Southlake Blvd Ste 120, Southlake, TX 76092
Phone: 940-368-2664    
Dr. Sarah Helen Thomas Randel, PHD PSYCHOLOGIST
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 250 W Southlake Blvd, Suite 208, Southlake, TX 76092
Phone: 817-988-9472    Fax: 817-379-1731
Dr. April Minatrea, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 211 E Southlake Blvd, Suite 115, Southlake, TX 76092
Phone: 817-404-7999    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.