Organization Active NPI

Bates Psychological Services, PLLC

  • Clinical Psychologist
  • Graham, TX
National Provider Identifier
1700844958
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32234 Issued in 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
Last updated
Jul 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Kerri Bates, PSYDNPI 1073571402
Title
Owner/Psychologist
Phone
(940) 549-2259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 32234 TX Primary

Addresses

Primary practice location

617 3Rd St
Graham, TX 76450-3101

Mailing address

617 3Rd St
Graham, TX 76450-3101
Phone (940) 549-2259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060712000187 TX Part B Supplier - Clinic/Group Practice 6709899891 Receives reassigned benefits from 2 practitioners
Practice locations: Graham, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1700844958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 3RD ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503101",
            "telephone_number": "940-549-2259",
            "fax_number": "940-549-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 3RD ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503101",
            "telephone_number": "940-549-2259",
            "fax_number": "940-549-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATES PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "940-549-2259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.