Individual provider Active NPI

Katherine Marie Billiot, PSY.D.

  • Clinical Psychologist
  • Ormond Beach, FL
National Provider Identifier
1851357990
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7252 Issued in FL
Practice address
570 Memorial Cir
Ste 150
Ormond Beach, FL 32174-5002
Phone
(386) 672-9250
Fax
(386) 672-9251
NPI assigned
Apr 26, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7252 FL Primary

Addresses

Primary practice location

570 Memorial Cir
Ste 150
Ormond Beach, FL 32174-5002

Mailing address

570 Memorial Cir
Ste 150
Ormond Beach, FL 32174-5002
Phone (386) 672-9250

Other identifiers 1

IdentifierTypeStateIssuer
75346OtherFLBC/BS FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060420000103 FL Practitioner - Clinical Psychologist 6103835129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Psychology Center PAGroup PAC ID 8022027044, 2 clinicians

Practice addresses (Care Compare)

570 Memorial Cir
Suite 150
Ormond Beach, FL 32174-5062
Phone (386) 672-9250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Psychology Center PA Clinical CurrentSince Jan 3, 2006 Accepting new patients

Locations

570 Memorial Cir
Ste 150
Ormond Beach, FL 32174
Phone (386) 672-9250

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1851357990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR",
            "address_2": "STE 150",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745002",
            "telephone_number": "386-672-9250",
            "fax_number": "386-672-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MEMORIAL CIR",
            "address_2": "STE 150",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745002",
            "telephone_number": "386-672-9250",
            "fax_number": "386-672-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLIOT",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FLORIDA",
            "identifier": "75346",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.