Dr. Kimberly Shaffer Tate
PSY.D. | Clinical Psychologist | 39+ years Exp
35 Iron Gate Park Dr., Centerville
Ohio, 45459-0000
937-435-8864 937-435-8264
Maps & DirectionsDr. Kimberly Shaffer Tate is a Centerville, Ohio based psychologist with 39 years of experience in Clinical Psychology. She completed her graduation in 1986. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kimberly Shaffer Tate is 4664 for Clinical Psychology in Ohio. Her current practice location is 35 Iron Gate Park Dr., Centerville. Patients can reach her at 937-435-8864 or can fax her at 937-435-8264. Dr. Kimberly Shaffer Tate is PSY.D. in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1154418903.
Dr. Kimberly Shaffer Tate is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Kimberly Shaffer Tate speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Kimberly Shaffer Tate |
| Specialization: | Clinical Psychology |
| Gender: | Female |
| Credentials: | PSY.D. |
| Experience: | 39+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1986 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 35 Iron Gate Park Dr., Centerville,
Ohio, 45459-0000 |
| Phone: | 937-435-8864 |
| Fax: | 937-435-8264 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0648223578 |
| Enrollment ID: | I20050304000002 |
| NPI Number: | 1154418903 |
| NPI Enumeration Date: | 05 Oct, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kimberly Shaffer Tate are as mentioned below.
| License Number | Specialization | State | Status | |
| 4664 | Clinical Psychology | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kimberly Shaffer Tate such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 028545000 | Other | Ohio | MAGELLAN PIN |
| 22000000356767 | Other | Ohio | ANTHEM PIN |
| 172428110968 | Other | Ohio | HUMANA PIN |
| 281859 | Other | Ohio | VALUE OPTIONS |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Kimberly Shaffer Tate
Po Box 41158,
Centerville, Ohio |
| Zip: | 45441-0158 |
| Phone Number: | 937-435-8864 |
| Fax Number: | 937-435-8264 |
Patients can reach Dr. Kimberly Shaffer Tate at
35 Iron Gate Park Dr., Centerville, Ohio or can
call to book an appointment on 937-435-8864.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.