Individual provider Active NPI

Natalie Kretsch, PH.D.

  • Psychologist
  • Austin, TX
National Provider Identifier
1669096988
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38607 Issued in TX
Practice address
1500 W 38TH St Ste 44
Austin, TX 78731-6319
Phone
(786) 230-9387
NPI assigned
Jun 2, 2020
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY9938 FL
Psychologist 103T00000X 38607 TX Primary

Addresses

Primary practice location

1500 W 38TH St Ste 44
Austin, TX 78731-6319

Mailing address

1748 Ohlen Rd Apt 87
Austin, TX 78757-7865
Phone (786) 230-9387

Other practice location 1

3001 N LaMar Blvd Ste 305
Austin, TX 78705-2027
Phone (786) 230-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 3, 2024 through Dec 3, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY9938FLMDPsychologist
38607TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Kretsch PHD PLLC Psychologist CurrentSince Feb 26, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1669096988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 OHLEN RD APT 87",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577865",
            "telephone_number": "786-230-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 38TH ST STE 44",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316319",
            "telephone_number": "786-230-9387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 N LaMar Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787052027",
            "country_code": "US",
            "telephone_number": "786-230-9387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRETSCH",
        "first_name": "NATALIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-04-05",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9938",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.