Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568144111 Individual Practitioner Female Practitioner

Dr. Kimberly Collins , PhD

Psychologist • Champaign, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Collins, PhD is a certified Psychologist practicing in Champaign, IL. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Collins delivers high-quality medical care to the local community at 1802 S MATTIS AVE.

Dr. Collins is affiliated with Carle Health Care Incorporated and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1802 S Mattis Ave

Champaign, IL 618215923

Telephone 2173652855
Associated Practice Facility / Clinic
🏢 Carle Clinic Association, Pc Facility NPI 1003947557

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Champaign, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +11.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
23 Specialists

Practicing in Champaign, IL (1075 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Collins (31 Years) 31 Yrs
Champaign Specialty Average (19.5 Years) 19.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-02-05
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IL 071005299

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

1802 S Mattis Ave, Champaign, IL 618215923

Phone: 2173261330

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Secondary Practice Locations

611 W Park St

Urbana, IL 618012529

Phone: 2179025552

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Dr. Mitava Thakkar , DO

Psychiatry & Neurology - Psychiatry

NPI 1003658204

Doctor of Osteopathic Medicine (D.O.)

NPI 1013349158

Advanced Practice Nurse, Family Nurse Practitioner (Board Certified), Psychiatric-Mental Health Nurse Practitioner

NPI 1053643064

Doctor of Philosophy (Ph.D.)

Amanda Gaugler

Social Worker - Clinical

NPI 1083074488
Lisa Ellingwood , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083255343

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Mary Kiesewetter , PMHNP

Nurse Practitioner

NPI 1114563640

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 06, 2024

Registered at 1802 S MATTIS AVE, CHAMPAIGN, IL 618215923 (Tel: 2173652855)

📍
Updated Business Mailing Address February 06, 2024

Registered at 611 W PARK ST, FAPC, URBANA, IL 61801

NPI Profile Active August 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2023

Registered at 611 W PARK ST, URBANA, IL 618012529 (Tel: 2179025552)

📍
Updated Business Mailing Address August 03, 2023

Registered at 2105 CROSSGATE CT, CHAMPAIGN, IL 618229347 (Tel: 2176490051)

👤
Provider Name / Credentials Updated August 03, 2023

Recorded as KIMBERLY COLLINS, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2023

Psychologist (License #071005299 in IL)

🟢
Initial NPI Registration & Enumeration August 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568144111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2023
Last Update: February 06, 2024
Sole Proprietor: No

Mailing Address

611 W Park St, Fapc

Urbana, IL 61801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.