KIMBERLY C. RIQUELME D.O. – NPI #1619282191
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

KIMBERLY RIQUELME is a psychiatry & neurologist located in GROTON, CT. NPPES has assigned the NPI number 1619282191 to KIMBERLY RIQUELME on August 09, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name KIMBERLY C. SCHRECK. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 8 years ago on Jul 03, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIMBERLY RIQUELME below.

NPI Profile for
KIMBERLY C. RIQUELME

NPI Number
1619282191
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KIMBERLY C. RIQUELME
Former Name: KIMBERLY C. SCHRECK
Credentials
D.O.
Primary location
1353 GOLD STAR HWY
GROTON, CT 06340
Phone: (860) 449-9947 Fax:
1 Other location(s):
5 Research Pkwy
Old Saybrook, CT 06475-4211
Phone: (860) 510-0163
Fax: (860) 510-0486
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for KIMBERLY RIQUELME

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSECT54151
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)
CT 54151
2084P0800X
- Psychiatry & Neurology / Psychiatry
CT 54151

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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