Kim Ann Cornish, PHD - Medicare Psychologist in Elk Grove, CA

Kim Ann Cornish, PHD is a medicare enrolled "Psychologist - Clinical" provider in Elk Grove, California. Her current practice location is 8788 Elk Grove Blvd., Bldg. 2, Ste F, Elk Grove, California. You can reach out to her office (for appointments etc.) via phone at (530) 514-1066.

Kim Ann Cornish is licensed to practice in California (license number PSY18648) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922176551.

Contact Information

Kim Ann Cornish, PHD
8788 Elk Grove Blvd., Bldg. 2, Ste F,
Elk Grove, CA 95624
(530) 514-1066
(916) 687-3140

Map and Direction




Healthcare Provider's Profile

Full NameKim Ann Cornish
GenderFemale
SpecialityPsychologist - Clinical
Location8788 Elk Grove Blvd., Elk Grove, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922176551
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 08/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8628382504
  • Enrollment ID: I20150805009236

Medical Identifiers

Medical identifiers for Kim Ann Cornish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922176551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY18648 (California)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. Kim Ann Cornish 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 AddressPractice Location Address
Kim Ann Cornish, PHD
8698 Elk Grove Blvd.,, Suite 1, Pmb 170,
Elk Grove, CA 95624

Ph: (530) 514-1066
Kim Ann Cornish, PHD
8788 Elk Grove Blvd., Bldg. 2, Ste F,
Elk Grove, CA 95624

Ph: (530) 514-1066

Reviews and Comments


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