National Provider Identifier Database

KEVIN M CORREIA, PhD – NPI #1194718650
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

KEVIN M CORREIA, PhD
8155 GLADYS AVE
BEAUMONT, TX77706
Phone: 409-860-4007
Fax: 409-860-1762
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Forensic 103TF0200X

* Indicates primary specialty

NPI Profile & details for KEVIN M CORREIA

NPI Number 1194718650
Credentials PhD
Entity Individual
Enumeration date 08/30/2005
Last updated 04/25/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • TX License #: 31520
  • TX Medicaid: 1507170-01
  • TX Other: 7473360 AETNA
  • TX Other: 0051GZ BLUE CROSS/BLUE SHIELD
  • TX Other: 305188 CHAMPUS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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