Active NPI
Kay Brumbaugh, PSY.D.
- Clinical Psychologist
- Humble, TX
National Provider Identifier
1821286196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34950
- Practice address
- 18321 W Lake Houston Pkwy Ste 310
Humble, TX 77346-3588 - Phone
- (954) 254-3774
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- 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 | 34950 | TX | Primary |
Addresses
Primary practice location
18321 W Lake Houston Pkwy Ste 310
Humble, TX 77346-3588
Mailing address
5827 Enchanted Timbers Dr
Humble, TX 77346-1901
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34950 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1821286196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5827 ENCHANTED TIMBERS DR",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773461901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18321 W LAKE HOUSTON PKWY STE 310",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463588",
"telephone_number": "954-254-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMBAUGH",
"first_name": "KAY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "34950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.