Active NPI
Mary Kilpatrick, PH.D.
- Psychologist
- Austin, TX
National Provider Identifier
1477766673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25819
- Practice address
- 4131 Spicewood Springs Rd
BLDG N, Ste. 3
Austin, TX 78759-8661 - Phone
- (512) 795-9999
- Fax
- (512) 795-2202
- NPI assigned
- May 7, 2007
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25819 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd
BLDG N, Ste. 3
Austin, TX 78759-8661
Mailing address
9109 Evening Primrose Path
Austin, TX 78750-3545
Phone (512) 795-9999
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25819 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477766673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9109 EVENING PRIMROSE PATH",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787503545",
"telephone_number": "512-795-9999",
"fax_number": "512-795-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD",
"address_2": "BLDG N, STE. 3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598661",
"telephone_number": "512-795-9999",
"fax_number": "512-795-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "25819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.