Individual provider Active NPI

Lynn E Fisher-Kittay, PHD

  • Psychologist
  • Corpus Christi, TX
National Provider Identifier
1669464186
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
24961 Issued in TX
Practice address
15802 Cozumel Dr
Corpus Christi, TX 78418-6631
Phone
(361) 992-3388
Fax
(361) 992-7780
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 24961 TX Primary

Addresses

Primary practice location

15802 Cozumel Dr
Corpus Christi, TX 78418-6631

Mailing address

15802 Cozumel Dr
Corpus Christi, TX 78418-6631
Phone (361) 992-3388

Other identifiers 1

IdentifierTypeStateIssuer
035658601MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000898 TX Practitioner - Clinical Psychologist 2567618614 Practice locations: Corpus Christi, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5402 Holly Rd
Suite 104
Corpus Christi, TX 78411-4674
Phone (361) 992-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
24961TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regency IHS Hospice Services LLC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1669464186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15802 COZUMEL DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186631",
            "telephone_number": "361-992-3388",
            "fax_number": "361-992-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15802 COZUMEL DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784186631",
            "telephone_number": "361-992-3388",
            "fax_number": "361-992-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER-KITTAY",
        "first_name": "LYNN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035658601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.