Active NPI
Kimberly L Gushanas, PHD
- Psychologist
- Webster, TX
National Provider Identifier
1730783341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 38605
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38605 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.