Kinnari Birla, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38636 Issued in TX

Practice address

3006 Catalpa Rock CT
Pearland, TX 77584-3946

Phone

(209) 552-9461

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Elvive Psychological Services PLLC

  • Clinic/Center
  • Pearland, TX
  • NPI 1437807922

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1124150867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 CATALPA ROCK CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 CATALPA ROCK CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843946",
            "telephone_number": "209-552-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRLA",
        "first_name": "KINNARI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38636",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio Therapeutics PLLC
• Bio-Medical Applications of Texas, Inc.
• Bio-Medical Applications of Texas, Inc.
• Alicia Bird, PTA
• Denise Francis Birdsong
• Cora Bishop
• Diana Bishop
• Aaliyah Bivens
• Randall Carl Black, LCSW
• Douglas Oliver Blackard, MS, MHA, LAT, CMPE

• Clinical Psychologist in Pearland, TX
• Providers in Pearland, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.