Kathleen T Murray, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001083 Issued in IA

Practice address

226 W Main St
Ste 208
Ottumwa, IA 52501-2503

Phone

(479) 530-7003

Fax

(641) 682-1924

NPI assigned

Sep 30, 2008

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 2

Medicare fee-for-service enrollment

Enrolled in IA

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Psychology Services of Ottumwa LLC

  • Clinical Psychologist
  • Ottumwa, IA
  • NPI 1154666956
  Medicare reassignment Authorized official
• Ottumwa Mental Wellness Center

  • Physician Assistant
  • Ottumwa, IA
  • NPI 1235410697
  NPD (past)
• Southern Iowa Mental Health Center

  • Community/Behavioral Health Agency
  • Ottumwa, IA
  • NPI 1457178428
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1104076827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W MAIN ST",
            "address_2": "STE 208",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012503",
            "telephone_number": "479-530-7003",
            "fax_number": "641-682-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W MAIN ST",
            "address_2": "STE 208",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012503",
            "telephone_number": "479-530-7003",
            "fax_number": "641-682-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KATHLEEN",
        "middle_name": "T",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "01-09P",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659353670",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF IOWA",
            "identifier": "1659353670",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Morris, FNP
• Laci Morrissey, M.A., LMHC, NCC
• Thomas Job Mukkada, MD
• Sheryl Ann Mulder, ARNP MSN FNPC
• Stacy L Murphy, APRN, PMHNP
• Cassaundra M Mutum, DNP, ARNP-C
• Natasha Ann Myers, ARNP
• Cindy Nelson
• Linh Yen Nguyen, PT, DPT
• Kyle Nicholson, DDS

• Clinical Psychologist in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.