Active NPI
Kelly Murphy Olmstead, PH.D.
- Clinical Psychologist
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24080
- Practice address
- 903 Forest St
Georgetown, TX 78626-5523 - Phone
- (512) 930-0884
- Fax
- (512) 931-9413
- NPI assigned
- Sep 13, 2006
- Last updated
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 24080 | TX | |
| Clinical Psychologist | 103TC0700X | 24080 | TX | Primary |
Addresses
Primary practice location
903 Forest St
Georgetown, TX 78626-5523
Mailing address
903 Forest St
Georgetown, TX 78626-5523
Phone (512) 930-0884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035231201 | Medicaid | TX |
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, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11211 Taylor Draper LN
Suite 202
Austin, TX 78759-3971
Phone (512) 343-8850
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.89 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 72.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24080 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Consultants | Psychologist | Current | Accepting new patients |
| Rebecca Burgman LLC | Past | Accepting new patients | |
| Rebecca Burgman | Past | Accepting new patients |
Locations
11211 Taylor Draper Ln
Ste 202
Austin, TX 78759
Phone (512) 343-8850
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Austin, TX
- NPI 1245275155
-
- Clinical Social Worker
- Georgetown, TX
- NPI 1750993077
-
- Clinical Social Worker
- Georgetown, TX
- NPI 1134736382
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Round Rock Medical Center
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1588769616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 FOREST ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265523",
"telephone_number": "512-930-0884",
"fax_number": "512-931-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 FOREST ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265523",
"telephone_number": "512-930-0884",
"fax_number": "512-931-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMSTEAD",
"first_name": "KELLY",
"middle_name": "MURPHY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "24080",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "24080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035231201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.