Active NPI
Katherine Elizabeth Presnell, PH.D.
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1215254008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33948
- Practice address
- 11211 Taylor Draper Lane
Suite 202
Austin, TX 78759-3971 - Phone
- (512) 343-8850
- Fax
- (512) 343-8079
- NPI assigned
- May 3, 2010
- Last updated
- Nov 15, 2010
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33948 | TX | Primary |
Addresses
Primary practice location
11211 Taylor Draper Lane
Suite 202
Austin, TX 78759-3971
Mailing address
11211 Taylor Draper Lane
Suite 202
Austin, TX 78759-3971
Phone (512) 343-8850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33948 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1215254008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11211 TAYLOR DRAPER LANE",
"address_2": "SUITE 202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787593971",
"telephone_number": "512-343-8850",
"fax_number": "512-343-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11211 TAYLOR DRAPER LANE",
"address_2": "SUITE 202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787593971",
"telephone_number": "512-343-8850",
"fax_number": "512-343-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESNELL",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "33948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Prescott Limb & Braces Inc (Prescotts Austin Orthotics & Prosthetics)
- Bethany Prescott, M.A., L.P.C.
- Jordan Prescott
- Kimberly Hope Preslar, MS, CCC-SLP
- Randy E Presley, MSN
- Lindsey Michelle Pressel, PMHNP
- Crystal Ann Pressley, APRN, FNP - BC
- Jill Pressley, MA
- Travis James Pressley, MD
- Jennifer Presson, MS RDN LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.