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

Michael Kimball, PSYD

Individual provider Clinical Psychologist · NPI 1316375595

Michael Kimball, PSYD is a Clinical Psychologist in Toledo, Ohio. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
11
Licensed in
MI, OH
In the registry since
2013
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

6635 W Central Ave
Toledo, OH 43617-1029
Phone: (734) 693-0554
Fax: (419) 517-1349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 705 S Main St, Plymouth, MI 48170-2089 — (734) 454-3560
  • 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 — (419) 214-1766

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 07781 (OH)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301014600 (MI)

Record details

NPI number1316375595
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 24, 2013
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024
Mailing address7040 Monroe St, Sylvania, OH 43560-1923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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