Individual provider Active NPI

Kimberly L Gushanas, PHD

  • Psychologist
  • Webster, TX
National Provider Identifier
1730783341
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38605 Issued in TX
Practice address
400 N Texas Ave Ste a
Webster, TX 77598-4961
Phone
(281) 338-2798
Fax
(281) 557-2027
NPI assigned
Nov 24, 2020
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38605 TX Primary
Health Service Psychologist 103TH0100X 38605 TX
Health Psychologist 103TH0004X 38605 TX

Addresses

Primary practice location

400 N Texas Ave Ste a
Webster, TX 77598-4961

Mailing address

301 University Blvd FL 7
Galveston, TX 77555-5302
Phone (512) 739-4644

Other practice location 1

1410 Reseda Dr
Houston, TX 77062-5401
Phone (512) 739-4644

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kigushan@utmb.edu Direct

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
I20210804001028 TX Practitioner - Clinical Psychologist 0345644944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38605TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Medical Branch at Galveston PastSince Mar 3, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kigushan@utmb.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1730783341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD FL 7",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "512-739-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N TEXAS AVE STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984961",
            "telephone_number": "281-338-2798",
            "fax_number": "281-557-2027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Reseda Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770625401",
            "country_code": "US",
            "telephone_number": "512-739-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSHANAS",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38605",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "38605",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "TX",
            "license": "38605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kigushan@utmb.edu",
            "affiliation": "N",
            "endpointDescription": "Faculty Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 University Blvd Fl 7",
            "city": "Galveston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775555302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.