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Active NPI 1134136963 Individual Practitioner Male Practitioner

Dr. Jon Kimpton , PhD

Psychologist • Wakefield, RI

Professional Overview & Biography Verified Profile Summary

Dr. Jon Kimpton, PhD is a registered healthcare professional specializing in Psychologist in Wakefield, RI. Practice services are available at 481A KINGSTOWN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

481a Kingstown Rd

Wakefield, RI 028793607

Telephone 4017892306
Fax 4017892307
Associated Practice Facility / Clinic
🏢 Bertram Gibbes, Ph.d., Inc. Facility NPI 1134375363

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Wakefield, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.7 Yrs
State Avg: 33.6 Yrs
Regional Practice Density
14 Specialists

Practicing in Wakefield, RI (255 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License RI PS00701

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.

Clinical Neuropsychologist

NUCC Taxonomy Code: 103G00000X

State License RI PS00701

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
JK31307 (RI)
Commercial Insurance / Payer ID Blue Chip
408420 (RI)
Commercial Insurance / Payer ID Ri License Psychology
PS00701 (RI)
Commercial Insurance / Payer ID Blue Cross/blue Shield Ri
23359-0 (RI)
Commercial Insurance / Payer ID United Behavioral Health
61-59401 (RI)
Commercial Insurance / Payer ID United Healthcare
0500760 (RI)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Andrea Lavigne , PhD

Psychologist - Clinical

NPI 1780085563

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 481A KINGSTOWN RD, WAKEFIELD, RI 028793607 (Tel: 4017892306)

📍
Updated Business Mailing Address July 08, 2007

Registered at 481A KINGSTOWN RD, WAKEFIELD, RI 028793607 (Tel: 4017892306)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JON KIMPTON, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Clinical Neuropsychologist (License #PS00701 in RI)

🟢
Initial NPI Registration & Enumeration August 02, 2006

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: 1134136963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

481a Kingstown Rd

Wakefield, RI 028793607

Phone: 4017892306

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.