Active NPI
Kimberly Schocket, PHD
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1801143417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34474
- Practice address
- 3508 Far West Blvd Ste 150
Austin, TX 78731-2290 - Phone
- (512) 467-7246
- Fax
- (512) 467-7247
- NPI assigned
- Aug 14, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34474 | TX | Primary |
Addresses
Primary practice location
3508 Far West Blvd Ste 150
Austin, TX 78731-2290
Mailing address
8015 Shoal Creek Blvd
Ste 103
Austin, TX 78757-8051
Phone (512) 467-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34474 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1801143417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8015 SHOAL CREEK BLVD",
"address_2": "STE 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787578051",
"telephone_number": "512-467-7246",
"fax_number": "512-467-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 FAR WEST BLVD STE 150",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787312290",
"telephone_number": "512-467-7246",
"fax_number": "512-467-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOCKET",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "34474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.