Bates Psychological Services, PLLC
Organization Active NPI Clinical Psychologist · Graham, TX
NPI 1700844958 · NPPES record last updated Jul 27, 2015
Key facts
- NPI
- 1700844958
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 32234 (TX)
- Legal business name
- BATES PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 617 3Rd St
Graham, TX 76450-3101 - Phone
- (940) 549-2259
- Fax
- (940) 549-2886
- NPI assigned
- May 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kerri Bates, PSYD
- Title
- Owner/Psychologist
- Phone
- (940) 549-2259
Practitioners 2
-
Brandon Pat Bates, PSY.D.
-
Kerri Michelle Bates, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060712000187 | TX | Part B Supplier - Clinic/Group Practice | 6709899891 |
Receives reassigned benefits from 2 practitioners Practice locations: Graham, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 32234 | TX | Yes |
Addresses
Primary practice location
617 3Rd St
Graham, TX 76450-3101
Mailing address
617 3Rd St
Graham, TX 76450-3101
Phone (940) 549-2259
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0042NP | Other | TX | BLUE CROSS BLUE SHIELD |
| 181385901 | Medicaid | TX |
Other providers in Graham, TX
- Angel Community Services
- Mindy Ash
- Austin Road Dental Clinic Inc.
- Brandy Baker
- Pete Flores Barrera
- Brandon Pat Bates
- Kerri Michelle Bates
- Donald Arthur Behr
- Belknap Family Practice, PLLC
- Kelsie Berend
All providers in Graham, TX · Clinical Psychologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.