Kim Marie Arredondo, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

32759 Issued in TX

Practice address

704 E 29TH St Ste B
Bryan, TX 77803-4898

Phone

(979) 574-8801

Fax

(855) 265-1950

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Brazos Valley Psychological Services PA

  • Psychologist
  • Bryan, TX
  • NPI 1154357747
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1831295864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E 29TH ST STE B",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778034898",
            "telephone_number": "979-574-8801",
            "fax_number": "979-775-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E 29TH ST STE B",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778034898",
            "telephone_number": "979-574-8801",
            "fax_number": "855-265-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Arias, OTR/L
• Ashley N. Armenta
• Trey William Armstrong, PH.D.
• Alicia Arnold, PT
• Jesus Alberto Arrambide
• Aaron Robles Arriaga
• Asclepius RX
• Candice R Ashley, M. ED., LPC, NCC
• Assisted Living Concepts Inc
• Alicia Diane Ates, DDS

• Psychologist in Bryan, TX
• Providers in Bryan, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.

Verify at the official NPI Registry.