IndividualActive
Kimberly Tate, PSY.D.
NPI 1154418903 · Clinical Psychologist · Centerville, OH
Provider details
- NPI number
- 1154418903
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4664 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
35 Iron Gate Park Dr.
Centerville, OH 45459-0000
Phone: (937) 435-8864
Fax: (937) 435-8264
Street-level locationGet directions
Mailing address
Po Box 41158
Centerville, OH 45441-0158
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.