Kristi Ann Mannon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37383 Issued in TX

Practice address

5009 Thompson Ter Ste 103
Colleyville, TX 76034-5850

Phone

(817) 618-3705

Fax

(817) 668-6013

NPI assigned

Aug 6, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Compass Youth and Family Psychological Services LLC

  • Clinical Psychologist
  • Colleyville, TX
  • NPI 1144767450
  NPD Authorized official

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1144639865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TER STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345850",
            "telephone_number": "817-618-3705",
            "fax_number": "817-668-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TER STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345850",
            "telephone_number": "817-618-3705",
            "fax_number": "817-668-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNON",
        "first_name": "KRISTI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lusby, PHD
• Thomas Mark Lutrick, PA-C
• Angela M Lutts, LCSW
• Lilian R. Mabry, LPC
• Isabella Makori, PMHNP
• Maria 'Maggie' Orona, LPC-S, PLLC
• Marvin Martin, DPT
• Alex Martynenko
• Jennie T Masabo, NP
• Siatta Massaquoi Davis, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.