KIMBERLY LOCKE (PSY.D) – Clinical Psychologist, NPI 1275859464

KIMBERLY LOCKE (PSY.D) is a healthcare provider. based in San antonio, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D. They hold a License No. 33989 (TX). The NPI Number for KIMBERLY LOCKE (PSY.D) is 1275859464

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY LOCKE (PSY.D)
NPI
1275859464
Phone
(210) 615-3483
Address
7272 WURZBACH RD
Enumeration Date
13 April 2010
Last Update Date
13 April 2010

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
9795426500
Graduation Year
2005 (21 years ago)
PAC ID
3476683459
Group Practice PAC ID
1153470067
Professional Enrollment ID
I20100618000046
Address ID
TX789421451GI185XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for KIMBERLY LOCKE (PSY.D)

  • Hair & Skin care by Estella, 7272, Wurzbach Road, San Antonio, Bexar County, Texas, 78240, United States

    STE 601

    SAN ANTONIO, TX 782404801

    Phone: (210) 615-3483

    Mailing address matches the actual address.

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: 2010-06-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100618000046IClinical PsychologistTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 78240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153470067View full group profile
NameSpecialtyState
Internal MedicineTX
Emergency Medicine, Family PracticeTX
-TX
P S Y C H I A T R YCA
Family PracticeTX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What number should I use to identify KIMBERLY LOCKE (PSY.D) for billing?
Administrative and clinical systems typically use NPI 1275859464 for KIMBERLY LOCKE (PSY.D).
Should I treat KIMBERLY LOCKE (PSY.D) as an active provider?
Patients and plans typically see KIMBERLY LOCKE (PSY.D) as active in the national extract.
How should patients interpret KIMBERLY LOCKE (PSY.D)'s specialty?
The extract shows Clinical Psychologist for KIMBERLY LOCKE (PSY.D). Clinical services aligned with this taxonomy classification.
Is KIMBERLY LOCKE (PSY.D) tied to San Antonio, Texas?
If you are local to San Antonio, Texas, KIMBERLY LOCKE (PSY.D) may be relevant to your search.
Who maintains KIMBERLY LOCKE (PSY.D)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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