Individual provider Active NPI

Kim Praderas, PH.D.

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1215044581
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-3796 Issued in TX
Practice address
5750 Balcones Dr Ste 202
Austin, TX 78731-4269
Phone
(512) 458-2606
Fax
(512) 828-7042
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2-3796 TX Primary

Addresses

Primary practice location

5750 Balcones Dr Ste 202
Austin, TX 78731-4269

Mailing address

5750 Balcones Dr Ste 202
Austin, TX 78731-4269
Phone (512) 458-2606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000775 TX Practitioner - Clinical Psychologist 3375601669 Reassigns benefits to 1 organization
Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Massachusetts Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5750 Balcones Dr
Suite 202
Austin, TX 78731-4269
Phone (512) 458-2606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-3796TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Praderas PLLC CurrentSince Jul 9, 2020 Accepting new patients

Locations

5750 Balcones Dr
Ste 202
Austin, TX 78731
Phone (512) 221-6405

3301 Northland Dr
Ste 320
Austin, TX 78731
Phone (512) 458-2606

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1215044581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BALCONES DR STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314269",
            "telephone_number": "512-458-2606",
            "fax_number": "512-828-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BALCONES DR STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314269",
            "telephone_number": "512-458-2606",
            "fax_number": "512-828-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADERAS",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-3796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.