Active NPI
Balwindar Kaur, PSYD
- Clinical Psychologist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 37825
- Practice address
- 7272 Wurzbach Rd Ste 706
San Antonio, TX 78240-4803 - Phone
- (210) 615-3483
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | 37825 | TX | Primary |
Addresses
Primary practice location
7272 Wurzbach Rd Ste 706
San Antonio, TX 78240-4803
Mailing address
7447 Cambridge St Apt 63
Houston, TX 77054-2019
Phone (562) 569-0713
Other practice location 1
1000 Goodrich Blvd
Commerce, CA 90022-5103
Phone (323) 832-9795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37825 | Other | TX | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4000 Macarthur Blvd
Suite 600
Newport Beach, CA 92660-2517
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37825 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sud Specialty Group - Ca | Current | Accepting new patients | |
| Deer Oaks Mental Health Associates PC | Clinical | Past | Accepting new patients |
Locations
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Organizations & group practices 3
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
-
- Clinical Psychologist
- Newport Beach, CA
- NPI 1427128156
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104104579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 CAMBRIDGE ST APT 63",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542019",
"telephone_number": "562-569-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD STE 706",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404803",
"telephone_number": "210-615-3483"
}
],
"practiceLocations": [
{
"address_1": "1000 Goodrich Blvd",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "900225103",
"country_code": "US",
"telephone_number": "323-832-9795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUR",
"first_name": "BALWINDAR",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "37825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "37825",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.