Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kimberly Shaffer Tate, PSY.D.

Clinical Psychologist in Centerville, OH · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154418903

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Kimberly Shaffer Tate

Credential PSY.D.

Sex Female

Practice address Centerville, OH, 45459

Phone (937) 435-8864

Fax (937) 435-8264

Enumeration date Oct 5, 2006

Last updated in NPPES Jul 9, 2007

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 4664 (OH) Primary

PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

Other identifiers

Identifier	Type	State	Issuer
028545000	Other	OH	MAGELLAN PIN
22000000356767	Other	OH	ANTHEM PIN
172428110968	Other	OH	HUMANA PIN
281859	Other	OH	VALUE OPTIONS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kimberly Tate practice?

The practice location on file with NPPES is in Centerville, OH. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kimberly Tate?

The National Provider Identifier (NPI) for Kimberly Tate is 1154418903, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-09.