Kiran Mishra, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

31131 Issued in TX

Practice address

4665 Sweetwater Blvd
Suite 110
Sugar Land, TX 77479-3135

Phone

(832) 876-3232

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sugar Land Counseling Center, PCGroup PAC ID 2365729241, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Sugar Land Counseling Center, P.C.

  • Mental Health Counselor
  • Sugar Land, TX
  • NPI 1033556535
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1720180631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 SWEETWATER BLVD",
            "address_2": "SUITE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793135",
            "telephone_number": "832-876-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 SWEETWATER BLVD",
            "address_2": "SUITE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793135",
            "telephone_number": "832-876-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mint Physician Staffing
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• Miracle Hands Healthcare Services
• Nicole Mirra, FNP
• Kanwal Mirza, M.D.
• Patricia Mitchell, MD
• Hari Shankar Mitra, M.D.
• MK & B Groups Inc
• MNM 1997, Inc
• Michelle Dulay Mobbs, CDMS

• Clinical Psychologist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.