Active NPI
Rebecca Ann Kraatz, PH.D.
- Psychologist
- Portland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33490
- Practice address
- 118 Sabine St
Portland, TX 78374-1454 - Phone
- (361) 643-6213
- Fax
- (361) 643-1263
- NPI assigned
- Feb 6, 2007
- Last updated
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 33490 | TX | Primary |
Addresses
Primary practice location
118 Sabine St
Portland, TX 78374-1454
Mailing address
118 Sabine St
Portland, TX 78374-1454
Phone (361) 643-6213
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33490 | Other | TX | PROVISIONAL LICENSE |
| 51382 | Other | NATL. REGISTER PSYCHOLOGY |
Other names 1
- Dr. Rebecca Ann Kraatz P.L.L.C.
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.17 of 100
- Quality
- 83.48
- Improvement activities
- 40
- Cost
- 67.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33490 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Geriatric Services P C | Current | Accepting new patients | |
| Coastal Plains Community MHMR Center | Current | Accepting new patients | |
| Coastal Plains Community MHMR Center | Current | Accepting new patients | |
| Deer Oaks Mental Health Associates PC | Past | Accepting new patients | |
| Coastal Plains Community MHMR Center | Past | Accepting new patients |
Locations
200 Marriott Dr
Portland, TX 78374
Phone (361) 777-3991
7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coastal Plains Community Center
- Psychiatry Physician
- Portland, TX
- NPI 1962552109
-
dba Deer Oaks Consultation Services
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
- Community/Behavioral Health Agency
- Aransas Pass, TX
- NPI 1962675785
-
dba Coastal Plains Community Center
- Case Manager/Care Coordinator
- Portland, TX
- NPI 1861544124
-
dba Coastal Plains Community Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, TX
- NPI 1194104026
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1285773184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 SABINE ST",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783741454",
"telephone_number": "361-643-6213",
"fax_number": "361-643-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SABINE ST",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783741454",
"telephone_number": "361-643-6213",
"fax_number": "361-643-1263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAATZ",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "33490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVISIONAL LICENSE",
"identifier": "33490",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATL. REGISTER PSYCHOLOGY",
"identifier": "51382",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "KRAATZ P.L.L.C.",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Portland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.