Individual provider Active NPI

Courtney Louise Kates, M.D.

  • Child & Adolescent Psychiatry Physician
  • Austin, TX
National Provider Identifier
1356874861
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
T9145 Issued in TX
Practice address
2203 W 35TH St
Austin, TX 78703-1203
Phone
(512) 454-4731
NPI assigned
Apr 11, 2017
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X T9145 TX Primary

Addresses

Primary practice location

2203 W 35TH St
Austin, TX 78703-1203

Mailing address

4330 Bull Creek Rd Apt 4125
Austin, TX 78731-5965
Phone (512) 632-8670

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210000121 TX Practitioner - Psychiatry 8729518519 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T9145TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Child & Adolescent Psychiatry Current Accepting new patients
Health and Human Services Commission CurrentSince Dec 9, 2024 Accepting new patients
Health and Human Services Commission CurrentSince Dec 9, 2024 Accepting new patients

Locations

2203 W 35th St
Austin, TX 78703
Phone (512) 374-6065

Interoperability endpoints

  • Direct secure messaging: courtney.kates.1@8363.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1356874861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 BULL CREEK RD APT 4125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787315965",
            "telephone_number": "512-632-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W 35TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031203",
            "telephone_number": "512-454-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATES",
        "first_name": "COURTNEY",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "T9145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.