Active NPI
Kelly McPfimeloronti, PH.D.
- Clinical Psychologist
- Livingston, TX
National Provider Identifier
1679711717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04173
- Practice address
- 137 Rainbow Dr
3795
Livingston, TX 77399-1037 - Phone
- (910) 394-4700
- Fax
- (910) 394-4711
- NPI assigned
- Jan 28, 2009
- Last updated
- Jan 28, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04173 | MD | Primary |
Addresses
Primary practice location
137 Rainbow Dr
3795
Livingston, TX 77399-1037
Mailing address
137 Rainbow Dr
3795
Livingston, TX 77399-1037
Phone (910) 394-4700
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04173 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lazuli Therapeutics, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lazuli Therapeutics
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1538633987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1679711717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 RAINBOW DR",
"address_2": "3795",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773991037",
"telephone_number": "910-394-4700",
"fax_number": "910-394-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 RAINBOW DR",
"address_2": "3795",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773991037",
"telephone_number": "910-394-4700",
"fax_number": "910-394-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPFIMELORONTI",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-28",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
- Mann Eye Center, PA (Mann Eye Institute)
- Susan R Manuel, PA
- Joshua Gaige Mason, APRN FNP-C
- Ashitha Elizabeth Mathew, OD
- Sumorria Xzavia Mays
- Mediswan LLC (Dr. G Medical Solutions)
- Memorial Hospital of Polk County (CHI St. Luke's Heath Memorial Livingston)
- Memorial Hospital Polk County
- Memorial Hospital Polk County (Anesthesia Group)
- Mens Center for Counseling and Coaching
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.