Active NPI
Burton A Kittay, PHD.
- Clinical Psychologist
- Corpus Christi, TX
National Provider Identifier
1811989338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24966
- Practice address
- 5402 Holly Rd
Ste 104
Corpus Christi, TX 78411-4674 - Phone
- (361) 992-7780
- Fax
- (361) 992-3355
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 24966 | TX | Primary |
Addresses
Primary practice location
5402 Holly Rd
Ste 104
Corpus Christi, TX 78411-4674
Mailing address
5350 S Staples St
Suite 200
Corpus Christi, TX 78411-4682
Phone (361) 992-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035994501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24966 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regency IHS Hospice Services LLC | Past | Accepting new patients |
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.
-
- Community Based Hospice Care Agency
- McAllen, TX
- NPI 1376024760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1811989338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 S STAPLES ST",
"address_2": "SUITE 200",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114682",
"telephone_number": "361-992-2244",
"fax_number": "361-992-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5402 HOLLY RD",
"address_2": "STE 104",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784114674",
"telephone_number": "361-992-7780",
"fax_number": "361-992-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTAY",
"first_name": "BURTON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "24966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035994501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.