Organization Active NPI

Kotin Psychology, PLLC

  • Clinical Psychologist
  • San Marcos, TX
National Provider Identifier
1104184597
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KOTIN PSYCHOLOGY, PLLC
Practice address
2106 Quail Run
San Marcos, TX 78666-9495
Phone
(512) 392-8106
Fax
(512) 392-8090
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Claudia KotinNPI 1588639447
Title
Psychologist
Phone
(512) 392-8106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2106 Quail Run
San Marcos, TX 78666-9495

Mailing address

2106 Quail Run
San Marcos, TX 78666-9495
Phone (512) 392-8106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000169 TX Part B Supplier - Clinic/Group Practice 4789840232 Receives reassigned benefits from 2 practitioners
Practice locations: San Marcos, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1104184597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 QUAIL RUN",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786669495",
            "telephone_number": "512-392-8106",
            "fax_number": "512-392-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 QUAIL RUN",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786669495",
            "telephone_number": "512-392-8106",
            "fax_number": "512-392-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTIN PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "KOTIN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-392-8106"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.