Active NPI
Kathy Marie Van Stone, PSY.D
- Clinical Psychologist
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35086
- Practice address
- 3000 Polar LN Ste 101
Cedar Park, TX 78613-3065 - Phone
- (844) 824-8775
- NPI assigned
- Mar 8, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY19357 | CA | |
| Psychologist | 103T00000X | 35086 | TX | |
| Health Service Psychologist | 103TH0100X | PSY19357 | CA | |
| Clinical Psychologist | 103TC0700X | 35086 | TX | Primary |
Addresses
Primary practice location
3000 Polar LN Ste 101
Cedar Park, TX 78613-3065
Mailing address
3000 Polar LN Ste 101
Cedar Park, TX 78613-3065
Phone (844) 824-8775
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Polar LN
Suite 101
Cedar Park, TX 78613-3065
Phone (844) 824-8775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35086 | TX | MD | Clinical Psychologist |
| PSY19357 | CA | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Medical Partners a Professional Corporation | Current | Accepting new patients | |
| Progressive Behavioral Health, PLLC | Clinical | Current | Accepting new patients |
| Behavioral Health Consultants | Psychologist | Past | Accepting new patients |
Locations
465 N Roxbury Dr
Ste 903
Beverly Hills, CA 90210
Phone (310) 288-5933
3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006
308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386
12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078
3010 Scott Blvd
Ste 103
Temple, TX 76504
Phone (254) 773-4022
Organizations & group practices 3
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.
-
dba LifeStance Health
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
Clinical
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043366164
-
- Psychologist
- Austin, TX
- NPI 1245275155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1467583419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 POLAR LN STE 101",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133065",
"telephone_number": "844-824-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 POLAR LN STE 101",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133065",
"telephone_number": "844-824-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN STONE",
"first_name": "KATHY",
"middle_name": "MARIE",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY19357",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "35086",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CA",
"license": "PSY19357",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "35086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
- Usacs Critical Care Medicine Services of Texas, PLLC
- Usacs Integrated Acute Care Services of Texas, PLLC
- Vaani Speech Therapy PLLC
- Jaymee J Valadez, LPCA
- Michael Francisco Valenzuela, RN
- Sharon Ann Vasser, PT, DPT
- Bert C Vasut, DDS
- Kamal Vats, FNP
- Nicole Jennifer Vazoulas, LPC
- Samuel Vazquez-Agosto, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.