DR. KEVIN JOSTAN PRINCE (NPI# 1104057066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104057066 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JOSTAN PRINCE |
| Credential | PH.D. |
| Practice Address |
100 W. Dean Keaton Drive Health Promotion Resource Center, Ssb 1.106 Austin TX 78712 |
| Mailing Address |
Po Box 7339 Health Promotion Resource Center Austin TX 78713-7339 |
| Practice Telephone | 5124758252 |
| Practice Fax Number | 5124758459 |
| Mailing Telephone | 5124758252 |
| Mailing Fax Number | 5124758459 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477976405 | Kevin Prince | Home Health Aide | 245 Mcdowell Cir, Hardeeville, SC 29927-8728 | 2014-01-27 |
| 1376579367 | Kevin Tyrone Prince | Dentist | 705 Champion Ct, Chesapeake, VA 23322-5496 | 2006-06-23 |
| 1447757943 | Kevin Prince | Emergency Medicine | 975 E 3rd St, Chattanooga, TN 37403 | 2018-04-11 |
| 1588765051 | Kevin Prince | Counselor | 12800 Garden Grove Blvd, Garden Grove, CA 92843-2008 | 2006-09-26 |
| 1558396465 | Kevin M Prince | Nurse Practitioner | 1108 Gulf Fwy S, Ste 230, League City, TX 77573-5100 | 2006-07-11 |
| 1801857586 | Kevin Darrell Prince | Internal Medicine | 2231 W Charleston Blvd, Las Vegas, NV 89102-2254 | 2006-03-31 |
| Street Address |
100 W. DEAN KEATON DRIVE HEALTH PROMOTION RESOURCE CENTER, SSB 1.106 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681887 | Sarah Mae Clifford | Specialist/Technologist | 405 E 23rd Street, Austin, TX 78712 | 2020-08-27 |
| 1013533603 | Caleb Montgomery Burleson | Specialist/Technologist | College of Education 1912 Speedway, Stop D5000, Austin, TX 78712 | 2020-06-19 |
| 1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
| 1396382552 | H-e-b, Lp | Clinical Medical Laboratory | 1601 Trinity St Bldg A Ste 105, Austin, TX 78712 | 2019-12-06 |
| 1427693928 | The University of Texas At Austin | Psychologist | 100 W Dean Keeton St., Austin, TX 78712 | 2019-11-08 |
| 1013565803 | Chidinma Abengowe | Specialist/Technologist | 2015 San Jacinto Blvd, Austin, TX 78712 | 2019-08-27 |
| 1073010724 | Qaisar Alshebani | Internal Medicine | Ut Austin Dell Medical School, Dell Seton Medical Center 1500 Red River Rd, Austin, TX 78712 | 2018-04-10 |
| 1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
| 1184081176 | Nahar Albudoor | Speech-Language Pathologist | 2504 A Whitis, Cma 2.200, A1100, University of Texas At Austin Speech & Hearing Center, Austin, TX 78712 | 2016-01-21 |
| 1922415181 | Kelly Marie Barker | Nurse Practitioner | 1601 Trinity St Ste 704f, Austin, TX 78712 | 2014-07-18 |
| Find all providers in zip 78712 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831535459 | Craig Field | Psychologist | 325 Palo Alto Way, Austin, TX 78732-2453 | 2013-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479930 | John A Miranda | Psychologist | 11530 Vance Jackson Rd Apt 708, San Antonio, TX 78230-1828 | 2019-07-21 |
| 1982148854 | Greater Houston Psychiatric Associates | Psychologist | 4888 Loop Central Dr, Ste 510, Houston, TX 77081 | 2016-12-13 |
| 1427205327 | Charles Scherzer | Psychologist | 10175 Harwin Dr, Suite 101, Houston, TX 77036-1652 | 2008-08-21 |
| 1841470978 | Dianna Kay Kuehner | Psychologist | 104 Colony Ct, Bastrop, TX 78602-3382 | 2007-11-06 |
| 1326242454 | Marilyn Hamilton | Psychologist | 4450 S Wayside Dr, Suite 100b, Houston, TX 77087-1126 | 2007-06-13 |
| 1801933361 | Wchs of Texas | Psychologist | 700 Hemphill Street, Ste A, Fort Worth, TX 76104-3105 | 2007-01-31 |
| 1922102334 | Suzanne S Brent | Psychologist | 1616 S Kentucky, C-200, Amarillo, TX 79102 | 2006-09-08 |
| 1104896778 | Joann Catherine Ondrovik | Psychologist | 3430 Farm Road 195, Paris, TX 75462-3058 | 2006-01-25 |
| 1700860251 | George Lazar | Psychologist | 7324 Southwest Fwy Ste 805, 805, Houston, TX 77074-2003 | 2005-11-29 |
| 1457359051 | Magaly Victoria Marrero | Psychologist | 11124 Wurzbach Rd, Suite 204, San Antonio, TX 78230-2438 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.