Individual provider Active NPI

Pamela M Kirby, PSY. D.

  • Clinical Psychologist
  • Amarillo, TX
National Provider Identifier
1306854989
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30796 Issued in TX
Practice address
5801 W Interstate 40 Ste 109
Amarillo, TX 79106-4633
Phone
(806) 468-7980
Fax
(806) 468-7987
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 30796 TX Primary

Addresses

Primary practice location

5801 W Interstate 40 Ste 109
Amarillo, TX 79106-4633

Mailing address

5801 W Interstate 40 Ste 109
Amarillo, TX 79106-4633
Phone (806) 468-7980

Other identifiers 2

IdentifierTypeStateIssuer
030180601MedicaidTX
0056GDOtherTXBCBS

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
I20140702001008 TX Practitioner - Clinical Psychologist 1951344068 Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5801 I-40
Suite 109
Amarillo, TX 79106-4633
Phone (806) 468-7980

5801 W I
40 Suite 109
Amarillo, TX 79106-4633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1306854989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 W INTERSTATE 40 STE 109",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064633",
            "telephone_number": "806-468-7980",
            "fax_number": "806-468-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 W INTERSTATE 40 STE 109",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064633",
            "telephone_number": "806-468-7980",
            "fax_number": "806-468-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "PAMELA",
        "middle_name": "M",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030180601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0056GD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.