Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Bausback

Individual provider Clinical Psychologist · NPI 1538881982

Kimberly Bausback is a Clinical Psychologist in San Mateo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

116 E 25th Ave Ste C
San Mateo, CA 94403-2596
Phone: (650) 336-0443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 33564 (CA)

Record details

NPI number1538881982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 13, 2022
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address116 E 25th Ave Ste C, San Mateo, CA 94403-2596

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