Individual provider Active NPI

Kimberly Gallagher Trayhan, PSYD

  • Counseling Psychologist
  • Garden Ridge, TX
National Provider Identifier
1487964011
Registry record updated Oct 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
21449 Water Wood Dr
Garden Ridge, TX 78266-2782
Phone
(210) 566-3522
NPI assigned
Oct 17, 2010
Last updated
Oct 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary
Counseling Psychologist 103TC1900X TX

Addresses

Primary practice location

21449 Water Wood Dr
Garden Ridge, TX 78266-2782

Mailing address

21449 Water Wood Dr
Garden Ridge, TX 78266-2782
Phone (210) 566-3522

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

NPI Registry JSON

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

{
    "created_epoch": "1287273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287273600000",
    "number": "1487964011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21449 WATER WOOD DR",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662782",
            "telephone_number": "210-566-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21449 WATER WOOD DR",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662782",
            "telephone_number": "210-566-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYHAN",
        "first_name": "KIMBERLY",
        "middle_name": "GALLAGHER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-17",
        "last_updated": "2010-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Ridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.