Individual provider Active NPI

Kier Bison, PH.D.

  • Rehabilitation Psychologist
  • Frisco, TX
National Provider Identifier
1720539794
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
25811 Issued in TX
Practice address
2990 Legacy Dr
Suite 1124
Frisco, TX 75034-6066
Phone
(469) 888-5217
Fax
(469) 888-5198
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 25811 TX
Rehabilitation Psychologist 103TR0400X 25811 TX Primary

Addresses

Primary practice location

2990 Legacy Dr
Suite 1124
Frisco, TX 75034-6066

Mailing address

2990 Legacy Dr
Suite 1124
Frisco, TX 75034-6066
Phone (469) 888-5217

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
I20260618004604 TX Practitioner - Clinical Psychologist 1153893201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Star Psychology and Consulting, PLLCGroup PAC ID 7012302466, 5 clinicians

Practice addresses (Care Compare)

5055 W Park Blvd
Suite 400
Plano, TX 75093-2590
Phone (940) 290-2565

National Provider Directory

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

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1720539794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 LEGACY DR",
            "address_2": "SUITE 1124",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346066",
            "telephone_number": "469-888-5217",
            "fax_number": "469-888-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 LEGACY DR",
            "address_2": "SUITE 1124",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346066",
            "telephone_number": "469-888-5217",
            "fax_number": "469-888-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISON",
        "first_name": "KIER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "25811",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "TX",
            "license": "25811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.