Kathleen T Payne, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1728 Issued in AL

Practice address

3929 Airport Blvd Ste 2-412
Mobile, AL 36609-2239

Phone

(251) 512-5026

NPI assigned

Jul 28, 2009

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 names 1

• Kathleen T Hughes Former name

Medicare fee-for-service enrollment

Enrolled in AL

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• John W Davis, PH.D.

  dba Bay Area Psychology & Counseling

  • Clinical Psychologist
  • Mobile, AL
  • NPI 1780005629
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1417188236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 PINE RUN",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365278638",
            "telephone_number": "251-377-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 2-412",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092239",
            "telephone_number": "251-512-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Dauphin St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366023242",
            "country_code": "US",
            "telephone_number": "251-512-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KATHLEEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HUGHES",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matt Donald Paulson, R.T.(R)
• Joseph John Pavelites II, BS, MS
• Stephany M Pavon
• Stacey Y Payne-Diggs, CRNP
• Isaac Christopher Payne, D.O.
• Kayla Atchsion Payne, PT, DPT
• Kristi Ann Payne, PHARMD.
• Lesley Payne, PA-C
• Nayla Damisa Lovejoy Payton
• Ashley Danielle Peace, PA-C

• Clinical Psychologist in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.