Kerri Michelle Bates, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32234 Issued in TX

Practice address

617 3Rd St
Graham, TX 76450-3101

Phone

(940) 549-2259

Fax

(940) 691-0062

NPI assigned

May 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bates Psychological Services PLLCGroup PAC ID 6709899891, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bates Psychological Services, PLLC

  • Clinical Psychologist
  • Graham, TX
  • NPI 1700844958
  Medicare reassignment Care Compare group NPD Authorized official
• Enid Counseling & Diagnostic Center, Inc

  dba Enid Counseling & Diagnostics Center, Inc

  • Clinical Psychologist
  • Enid, OK
  • NPI 1124132253
  NPD (past)
• Enid Counseling and Diagnostic

  • Community/Behavioral Health Agency
  • Enid, OK
  • NPI 1720330012
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073571402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 3RD ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503101",
            "telephone_number": "940-549-2259",
            "fax_number": "940-549-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 3RD ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503101",
            "telephone_number": "940-549-2259",
            "fax_number": "940-691-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KERRI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32234",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87204A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9339657",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "274010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Road Dental Clinic Inc.
• Brandy Baker, RN
• Pete Flores Barrera, MD
• Bates Psychological Services, PLLC
• Brandon Pat Bates, PSY.D.
• Donald Arthur Behr, MD
• Belknap Family Practice, PLLC (Brazos Family Clinic)
• Kelsie Berend, OTR
• Beyondfaith Homecare & Rehab of Graham, LLC
• Beyondfaith Hospice LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.