Desiree Wilmetta Kilcrease-Fleming, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25363 Issued in TX

Practice address

5501 Bryan St
Dallas, TX 75206-8103

Phone

(214) 828-2603

Fax

(214) 828-4954

NPI assigned

Aug 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Psychology CenterGroup PAC ID 2365767589, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Health Psychology Center

  dba Behavioral Health Providers

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1922317858
  Medicare reassignment Care Compare group
• Supportive Care LLC

  • Clinical Psychologist
  • Garland, TX
  • NPI 1477895043
  Medicare reassignment NPD
• Behavioral and Medical Homecare Inc

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1043203458
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1043211774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BRYAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068103",
            "telephone_number": "214-828-2603",
            "fax_number": "214-828-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BRYAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752068103",
            "telephone_number": "214-828-2603",
            "fax_number": "214-828-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCREASE-FLEMING",
        "first_name": "DESIREE",
        "middle_name": "WILMETTA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "25363",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173558101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Njambi Kigotho, CRNA
• Aminat Kilani, CRNA
• Nagamma Kilaru, MD
• Andrew Kilburn
• Christopher Kilburn, RN
• Kathryn Elizabeth Kilcullen, LCDC
• Jeannette Larue Kilgard, PA-C
• David Paul Kilgore, M.D.
• Anitra Rochelle Killebrew, OTR
• Angela Dee Killeen-Hirschhorn, NURSE PRACTITIONER

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.