Individual
JON KIMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
481A KINGSTOWN RD, WAKEFIELD, RI 02879-3607
(401) 789-2306
(401) 789-2307
Mailing address
481A KINGSTOWN RD, WAKEFIELD, RI 02879-3607
(401) 789-2306
(401) 789-2307
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS00701
RI
103T00000X
Psychologist
Primary
PS00701
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500760
UNITED HEALTHCARE
RI
01
—
23359-0
BLUE CROSS/BLUE SHIELD RI
RI
01
—
408420
BLUE CHIP
RI
01
—
61-59401
UNITED BEHAVIORAL HEALTH
RI
05
—
JK31307
—
RI
01
—
PS00701
RI LICENSE PSYCHOLOGY
RI
Enumeration date
08/02/2006
Last updated
09/11/2025
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