DR. KIMBERLY LILAC GAJETON (PSY.D.) – Clinical Psychologist, NPI 1730588054

DR. KIMBERLY LILAC GAJETON (PSY.D.) is a healthcare provider. based in Sherman, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 36893 (TX). The NPI Number for DR. KIMBERLY LILAC GAJETON (PSY.D.) is 1730588054

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY LILAC GAJETON (PSY.D.)
NPI
1730588054
Phone
(903) 893-0298
Address
600 E Taylor St
Enumeration Date
22 August 2014
Last Update Date
24 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9038930298
Graduation Year
2015 (11 years ago)
PAC ID
2668739988
Group Practice PAC ID
0244406098
Professional Enrollment ID
I20171121003114
Address ID
TX750902866SH600XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. KIMBERLY LILAC GAJETON (PSY.D.)

  • 600 E Taylor St

    Suite #4011

    Sherman, TX 750902881

    Phone: (903) 893-0298

    Type: Location

  • 600 E TAYLOR ST STE 4011

    SHERMAN, TX 750902866

    Phone: (903) 893-0298

    Type: Mailing

  • 600 E TAYLOR ST

    SUITE #4011

    SHERMAN, TX 750902881

    Phone: (903) 893-0298

    Type: Location

  • 555 REPUBLIC DR STE 325

    PLANO, TX 750748867

    Phone: (903) 893-0298

    Fax: (903) 892-6323

    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: 2017-11-21

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
I20171121003114IClinical 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 75090)

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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: 0244406098View full group profile
NameSpecialtyState
Clinical PsychologistTX
Clinical PsychologistTX
Clinical PsychologistTX

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Frequently asked questions

What is the 10-digit NPI for DR. KIMBERLY LILAC GAJETON (PSY.D.)?
DR. KIMBERLY LILAC GAJETON (PSY.D.) — NPI 1730588054 — is the standard way to identify this listing.
Is DR. KIMBERLY LILAC GAJETON (PSY.D.) listed as active for patients and plans?
The listing shows DR. KIMBERLY LILAC GAJETON (PSY.D.) as active in the NPI system.
What healthcare role does DR. KIMBERLY LILAC GAJETON (PSY.D.) hold?
Scheduling teams often label DR. KIMBERLY LILAC GAJETON (PSY.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KIMBERLY LILAC GAJETON (PSY.D.)?
DR. KIMBERLY LILAC GAJETON (PSY.D.)'s geographic hint is Sherman, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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