Individual provider Active NPI

Patricia Driskill, PH.D.

  • Counseling Psychologist
  • Lubbock, TX
National Provider Identifier
1841209160
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2-5028 Issued in TX
Practice address
5212 75TH St
Lubbock, TX 79424-2520
Phone
(806) 794-3393
Fax
(806) 794-3733
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2-5028 TX Primary

Addresses

Primary practice location

5212 75TH St
Lubbock, TX 79424-2520

Mailing address

5212 75TH St
Lubbock, TX 79424-2520
Phone (806) 794-3393

Other identifiers 1

IdentifierTypeStateIssuer
N8298MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080804000335 TX Practitioner - Clinical Psychologist 9335213750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-5028TXMDCounseling Psychologist
6327TXMDChiropractor
25028TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Regional MHMR Center PastSince May 1, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1841209160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 75TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242520",
            "telephone_number": "806-794-3393",
            "fax_number": "806-794-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 75TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242520",
            "telephone_number": "806-794-3393",
            "fax_number": "806-794-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISKILL",
        "first_name": "PATRICIA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "2-5028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N8298",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.