Individual provider Active NPI

Kathrine Anne Seale, PSY.D., P.A.

  • Clinical Psychologist
  • Kerrville, TX
National Provider Identifier
1033133376
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
025622 Issued in TX
Practice address
2404 Memorial Blvd Ste C-08
Kerrville, TX 78028-5630
Phone
(830) 257-2777
NPI assigned
Jul 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 025622 TX Primary

Addresses

Primary practice location

2404 Memorial Blvd Ste C-08
Kerrville, TX 78028-5630

Mailing address

PO Box 806
Comfort, TX 78013-0806
Phone (830) 257-2777

Other identifiers 2

IdentifierTypeStateIssuer
0029CTOtherTXBLUE CROSS BLUE SHIELD
44602OtherTXNATIONAL REGISTER OF HEAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033133376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "COMFORT",
            "state": "TX",
            "postal_code": "780130806",
            "telephone_number": "830-257-2777",
            "fax_number": "830-995-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 MEMORIAL BLVD STE C-08",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285630",
            "telephone_number": "830-257-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALE",
        "first_name": "KATHRINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "025622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0029CT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTER OF HEAL",
            "identifier": "44602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.