Active NPI
Kristen Golba, PHD
- Clinical Psychologist
- Temple, TX
National Provider Identifier
1407149156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 080611
- Practice address
- 1901 Veterans Memorial Dr
Mail Code: 116B
Temple, TX 76504-7451 - Phone
- (254) 743-0040
- NPI assigned
- May 26, 2011
- 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 | 080611 | IA | Primary |
Addresses
Primary practice location
1901 Veterans Memorial Dr
Mail Code: 116B
Temple, TX 76504-7451
Mailing address
1901 Veterans Memorial Dr
Temple, TX 76504-7451
Phone (254) 743-0040
Other practice location 1
3600 30th St
Des Moines, IA 50310-5753
Phone (515) 699-5956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080611 | IA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1407149156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 VETERANS MEMORIAL DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047451",
"telephone_number": "254-743-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 VETERANS MEMORIAL DR",
"address_2": "MAIL CODE: 116B",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047451",
"telephone_number": "254-743-0040"
}
],
"practiceLocations": [
{
"address_1": "3600 30th St",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503105753",
"country_code": "US",
"telephone_number": "515-699-5956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLBA",
"first_name": "KRISTEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-26",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "080611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.