Dr Kimberly Vandermark Grimsley, is a
Psychologist - Clinical based in Texas City, Texas. Dr Kimberly Vandermark Grimsley is licensed to practice in Texas (license number 39052) and her current practice location is
1501 N Amburn Rd Ste 12, Texas City, Texas. She can be reached at her office (for appointments etc.) via phone at
(409) 797-4174.
NPI number for Dr Kimberly Vandermark Grimsley is 1013666866 and her current mailing address is 1501 N Amburn Rd Ste 12, Texas City, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013666866.
Healthcare Provider's Profile
| Full Name | Dr Kimberly Vandermark Grimsley |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 1501 N Amburn Rd Ste 12, Texas City, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013666866
- Provider Enumeration Date: 03/21/2022
- Last Update Date: 11/27/2023
Medical Identifiers
Medical identifiers for Dr Kimberly Vandermark Grimsley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013666866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 103TP0814X | Psychologist - Psychoanalysis | (* (Not Available)) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 39052 (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 Vandermark Grimsley 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 Address | Practice Location Address |
|---|
Dr Kimberly Vandermark Grimsley,
1501 N Amburn Rd Ste 12,
Texas City, TX 77591-2466
Ph: (409) 797-4174 | Dr Kimberly Vandermark Grimsley,
1501 N Amburn Rd Ste 12,
Texas City, TX 77591-2466
Ph: (409) 797-4174 |
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