Active NPI
Kathleen Anne Huston, PHD
- Psychologist
- College Station, TX
National Provider Identifier
1073664413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 23350
- Practice address
- 2508 Faulkner Dr
College Station, TX 77845-5672 - Phone
- (979) 764-2879
- Fax
- (979) 693-5556
- NPI assigned
- Jan 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 23350 | TX | Primary |
Addresses
Primary practice location
2508 Faulkner Dr
College Station, TX 77845-5672
Mailing address
2508 Faulkner Dr
College Station, TX 77845-5672
Phone (979) 764-2879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23350 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1073664413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 FAULKNER DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778455672",
"telephone_number": "979-764-2879",
"fax_number": "979-693-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 FAULKNER DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778455672",
"telephone_number": "979-764-2879",
"fax_number": "979-693-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSTON",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "23350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.