Sydney Kroll Register, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34032 Issued in TX

Practice address

518 E Hospital St
Nacogdoches, TX 75961-5239

Phone

(936) 462-8577

Fax

(936) 228-9072

NPI assigned

Jan 16, 2008

Last updated

Mar 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sydney Kroll Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgetown Psychotherapy, PLLCGroup PAC ID 2466589411, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Georgetown Psychotherapy, PLLC

  dba Piney Woods Psychological Services

  • Clinical Psychologist
  • Nacogdoches, TX
  • NPI 1225351794
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1467638825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E HOSPITAL ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615239",
            "telephone_number": "936-462-8577",
            "fax_number": "936-228-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E HOSPITAL ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615239",
            "telephone_number": "936-462-8577",
            "fax_number": "936-228-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGISTER",
        "first_name": "SYDNEY",
        "middle_name": "KROLL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "KROLL",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anissa Lynn Reagor, DDS
• Louis E Rector, DDS
• James Earl Redfield Jr., MD
• Charlene Reed, LCSW
• Kristin Reese
• Jarrod Reid, LPC ASSOCIATE
• Lauren Taylor Reid
• Renal Care Group Nacogdoches, LLP (Fresenius Medical Care Nacogdoches)
• Amy Reneau, MS CCC/SLP
• Ressler Rehabilitation LLC

• Clinical Psychologist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.