Kristie Dawn Engel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33629 Issued in TX

Practice address

11701 Bee Caves Rd Ste 213
Austin, TX 78738-6468

Phone

(512) 572-4673

Fax

(512) 355-6737

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1750331963
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

• Dr. Kristie Engel Madden Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2020.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1003013053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2135",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786302135",
            "telephone_number": "512-572-4673",
            "fax_number": "512-355-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 BEE CAVES RD STE 213",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386468",
            "telephone_number": "512-572-4673",
            "fax_number": "512-355-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "KRISTIE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TX",
            "license": "33629",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "33629",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003013053",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS",
            "identifier": "33629",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "MADDEN",
            "middle_name": "ENGEL",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Enduring Oak Counseling & Wellness, PLLC
• Elizabeth Jean Endyke
• Angeli Enero
• Enerqi Corporation
• Jennifer Lee Engel, PA-C
• Sylvia Nicole Engel
• Allison Michelle Engelbrecht
• Aaron Wayne Engels, DDS
• Shae Engh
• Caitlin England, RD

• All providers in Austin, TX
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.