Individual provider Active NPI

Kyle Babick, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1447373741
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23421 Issued in TX
Practice address
8340 Meadow Rd
Suite 134
Dallas, TX 75231-3769
Phone
(214) 559-5757
Fax
(214) 378-7009
NPI assigned
Apr 9, 2007
Last updated
May 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23421 TX Primary

Addresses

Primary practice location

8340 Meadow Rd
Suite 134
Dallas, TX 75231-3769

Mailing address

8340 Meadow Rd
Suite 134
Dallas, TX 75231-3769
Phone (214) 559-5757

Other identifiers 2

IdentifierTypeStateIssuer
CPS23421TXOtherTXTEXAS WORKERS COMP PROVID
8F20652OtherMEDICARE INDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000771 TX Practitioner - Clinical Psychologist 0143235184

National Provider Directory

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1447373741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MEADOW RD",
            "address_2": "SUITE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313769",
            "telephone_number": "214-559-5757",
            "fax_number": "214-378-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MEADOW RD",
            "address_2": "SUITE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313769",
            "telephone_number": "214-559-5757",
            "fax_number": "214-378-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABICK",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS WORKERS COMP PROVID",
            "identifier": "CPS23421TX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "8F20652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.