Kimberly Shaffer Tate, PSY.D.
Clinical Psychologist · Centerville, OH
Kimberly Shaffer Tate, PSY.D. is a clinical psychologist with a practice address in Centerville, Ohio, and NPI 1154418903, issued on Oct 5, 2006. Check the license (Ohio 4664, as entered in NPPES) with the Ohio board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kimberly Shaffer Tate
- Credential
- PSY.D.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 4664 OH
Self-reported in NPPES; status is on the state search - Practice location
- 35 Iron Gate Park Dr., Centerville, OH 45459
- Phone
- (937) 435-8864
- Enumerated
- Oct 5, 2006
- Record last updated
- Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (937) 435-8264
- Medicare enrollment
- Enrolled (PECOS I20050304000002); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,581 in Ohio → Look up another NPI →
Verify Kimberly Shaffer Tate in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Ohio board licenses this profession
Search for license 4664Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kimberly Shaffer Tate among 1,581 clinical psychologist records in Ohio
Kimberly Shaffer Tate, PSY.D. is one of 1,581 clinical psychologist records with a practice address in Ohio. 19% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 5% of them.
- NPI issued2006 · 5% of these records are older, 64% newer
- In a Medicare fileNo · 19% of these records are
- In the CMS Doctors and Clinicians fileYes · 28% of these records are
- Graduated1986 · median 2002 among the 445 with a school on file
- Record last updated2007 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
12 clinical psychologist records list a practice address in Centerville
They are 12 of the 1,015 NPPES records with a practice address in Centerville, and 1,581 clinical psychologist records in Ohio. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,581 in Ohio → Every provider in Centerville → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- D. Bromberg, PH.D.Dayton, OH 454591568416071
- Karen Evans, PH.D.Dayton, OH 454591508877358
- Robin Graff-Reed, PHDDayton, OH 454591184495582
- Kirsten Harrell, PSYDCenterville, OH 454591568971455
- Patricia Hayes, PSY.D.Centerville, OH 454591043209976
- Cynthia Levy, PHDDayton, OH 454591710151295
- David Lombard, PH.D.Centerville, OH 454591649386301
- Thomas McElfresh, PSY.D.Dayton, OH 454591023141587
Common questions
What is Kimberly Shaffer Tate, PSY.D.'s NPI number?
Kimberly Shaffer Tate, PSY.D.'s National Provider Identifier (NPI) is 1154418903, issued on Oct 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kimberly Shaffer Tate, PSY.D. located?
The NPPES record lists a practice address at 35 Iron Gate Park Dr., Centerville, OH, 45459. Phone: (937) 435-8864. Providers update this record themselves, so call before visiting.
How can I verify Kimberly Shaffer Tate, PSY.D.'s license?
NPPES lists Ohio license number 4664, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.