Dr Kimberly Nicole Javier, PHD is a medicare enrolled "Psychologist" provider in San Jose, California. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Asian Americans For Community Involvement Of Santa Clara County and her current practice location is
2400 Moorpark Ave Ste 300, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(408) 975-2730.
Dr Kimberly Nicole Javier is licensed to practice in California (license number PSY33131) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1528356227.
Healthcare Provider's Profile
| Full Name | Dr Kimberly Nicole Javier |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 2400 Moorpark Ave Ste 300, San Jose, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kimberly Nicole Javier graduated from medical school in 2018
NPI Data:
- NPI Number: 1528356227
- Provider Enumeration Date: 07/14/2011
- Last Update Date: 06/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860887338
- Enrollment ID: I20220318002155
Medical Identifiers
Medical identifiers for Dr Kimberly Nicole Javier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528356227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | PSB94024136 (California) | Secondary |
| 103T00000X | Psychologist | PSY33131 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Asian Americans For Community Involvement Of Santa Clara County | 7719880533 | 15 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly Nicole Javier allows following entities to bill medicare on her behalf.
| Entity Name | Asian Americans For Community Involvement Of Santa Clara County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750490363
PECOS PAC ID: 7719880533
Enrollment ID: O20040129000646 |
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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 Nicole Javier is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Kimberly Nicole Javier, PHD
2400 Moorpark Ave Ste 300,
San Jose, CA 95128-2680
Ph: (408) 975-2730 | Dr Kimberly Nicole Javier, PHD
2400 Moorpark Ave Ste 300,
San Jose, CA 95128-2680
Ph: (408) 975-2730 |
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