Active NPI
Kristy L Lacko, PSY.D.
- Clinical Psychologist
- Killeen, TX
National Provider Identifier
1427321314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36749
- Practice address
- 3800 S W S Young Dr Ste 407
Killeen, TX 76542-3374 - Phone
- (254) 252-3748
- Fax
- (254) 549-0086
- NPI assigned
- Feb 22, 2012
- Last updated
- Feb 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 24531 | CA | |
| Clinical Psychologist | 103TC0700X | 36749 | TX | Primary |
Addresses
Primary practice location
3800 S W S Young Dr Ste 407
Killeen, TX 76542-3374
Mailing address
2330 Stanley Rd
Suite C
Fort Sam Houston, TX 78234-2636
Other practice location 1
2330 Stanley Rd
Suite C
Fort Sam Houston, TX 78234-2636
Phone (210) 221-1211
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24531 | CA | MD | Dentist |
| 36749 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen T. Belk Psy.D. PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Burnet, TX
- NPI 1598280497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1427321314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 STANLEY RD",
"address_2": "SUITE C",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782342636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S W S YOUNG DR STE 407",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765423374",
"telephone_number": "254-252-3748",
"fax_number": "254-549-0086"
}
],
"practiceLocations": [
{
"address_1": "2330 Stanley Rd",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782342636",
"country_code": "US",
"telephone_number": "210-221-1211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LACKO",
"first_name": "KRISTY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "24531",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.