| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIMBERLY BULAVA | 1558666578 | 2011-01-23 |
Kimberly Bulava is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558666578. Registration indicates Kimberly Bulava is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, ) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Forensic, ) (Psychologist Forensic, Behavioral Health & Social Service Providers) (Psychologist, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist, Behavioral Health & Social Service Providers)
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Kimberly Bulava PSYD |
| Practice Office Address | 820 KINSHIP RD STURGIS, SD US |
| Practice Office Telephone | 7732551055 |
| Mailing Address | 820 KINSHIP RD PO BOX 171 STURGIS, SD 57785 US |
| Business Telephone | 7732551055 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 8233 Allendale Ct | Naples, FL 341201656 | 7732551055 |
| Code | Practice | License No State |
|---|---|---|
| 103T00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers | PY9056
FL |
| 103T00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers | 071.008005
IL |
| 103TC0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | PY9056
FL |
| 103TC0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | 071008005
IL |
| 103TF0200X | Behavioral Health & Social Service Providers Psychologist Psychologist: Forensic Psychologist Forensic Behavioral Health & Social Service Providers Psychologist | PY9056
FL |
| 103T00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist Behavioral Health/Substance Abuse/Psychiatry Psychologist Behavioral Health & Social Service Providers | PY 9056
FL |