Active NPI
Tracey Anne Kurian, PSY.D.
- Psychologist
- San Antonio, TX
National Provider Identifier
1184142309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 071.009372
- Practice address
- Brooke Army Medical Center
3551 Roger Brooke Drive
San Antonio, TX 78234 - Phone
- (210) 295-8491
- NPI assigned
- Sep 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 071.009372 | IL | Primary |
Addresses
Primary practice location
Brooke Army Medical Center
3551 Roger Brooke Drive
San Antonio, TX 78234
Mailing address
Brooke Army Medical Center
3551 Roger Brooke Drive
San Antonio, TX 78234
Phone (210) 295-8491
Other names 1
- Dr. Tracey Anne Kurian
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.009372 | IL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1184142309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DRIVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-295-8491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DRIVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-295-8491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURIAN",
"first_name": "TRACEY",
"middle_name": "ANNE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2023-10-31",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.009372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "KURIAN",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.