Kevin Jostan Prince, PH.D.

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Practice address

100 W. Dean Keaton Drive
Health Promotion Resource Center, SSB 1.106
Austin, TX 78712

Phone

(512) 475-8252

Fax

(512) 475-8459

NPI assigned

Jul 27, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1104057066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7339",
            "address_2": "HEALTH PROMOTION RESOURCE CENTER",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787137339",
            "telephone_number": "512-475-8252",
            "fax_number": "512-475-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W. DEAN KEATON DRIVE",
            "address_2": "HEALTH PROMOTION RESOURCE CENTER, SSB 1.106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "512-475-8252",
            "fax_number": "512-475-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "KEVIN",
        "middle_name": "JOSTAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Riquel Prince-Perez, RD, LD
• Dianna Prince
• Emily A Prince, LCSW
• Gabriela Prince
• Joseph Prince
• Madison Prince
• Angelica S Prindle, LPC
• Courtney Tenille Pringle
• Tatum Printy
• Ginna Priola, M.D.

• Addiction (Substance Use Disorder) Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Addiction (Substance Use Disorder) Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.