KIM SHIMODA (PHD) – Psychologist, NPI 1013926898
Psychologist
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
Provider Addresses for KIM SHIMODA (PHD)
1265 CREEKSIDE PKWY
STE 200
NAPLES, FL 341081954
Phone: (239) 254-4270
Fax: (239) 254-4271
Type: Location
9981 S HEALTHPARK DR
FORT MYERS, FL 339083618
Phone: (239) 343-5333
Fax: (239) 343-5321
Type: Location
Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States
FORT MYERS, FL 339022147
Phone: (239) 343-5333
Fax: (239) 343-5321
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110608000471 | I | Clinical Psychologist | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Critical Care (Intensivists), Pediatric Medicine | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | FL | |
| Nurse Practitioner | FL | |
| N E U R O L O G Y | MO | |
| Medical Genetics And Genomics | MI | |
| Nurse Practitioner | FL | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | FL |
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