Karan Lee Redus, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

23137 Issued in TX

Practice address

104 Kelly Drive
Suite D
Victoria, TX 77904

Phone

(361) 574-9911

Fax

(361) 574-9985

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Care LLCGroup PAC ID 7719126655, 67 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.99 of 100Reported as group

Quality

80

Improvement activities

40

Cost

66.63

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Supportive Care LLC

  • Clinical Psychologist
  • Garland, TX
  • NPI 1477895043
  Medicare reassignment Care Compare group NPD
• Parkview Geriatric Services Inc

  • Clinical Psychologist
  • Houston, TX
  • NPI 1508200080
  NPD (past)
• Parkview Psychological Services, PC

  • Clinical Psychologist
  • Houston, TX
  • NPI 1306972716
  NPD (past)
• Raul R Capitaine Mdpa

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1548445075
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1366565426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KELLY DRIVE",
            "address_2": "SUITE D",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-574-9911",
            "fax_number": "361-574-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KELLY DRIVE",
            "address_2": "SUITE D",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-574-9911",
            "fax_number": "361-574-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDUS",
        "first_name": "KARAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0008DS",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123646501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reclamation Counseling Center, PC
• Reclamation Counseling Center, PC
• Red River Family Clinic LLC
• Benjamin J Reddoch, PHARMD
• Nancy Tran Reddoch
• Grace Rees, O.T.R.
• Regency IHS NPS LLC
• Region III Education Service Center
• Regional Employee Assistance Program
• Regional Employee Assistance Program Inc

• Psychologist in Victoria, TX
• Providers in Victoria, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.

Verify at the official NPI Registry.