DR. MARY KIGHT PH.D., CRC
NPI 1245211036
Psychologist in Dallas, TX

Active since November 08, 2005Opted out of Medicare · through Jul 1, 2028
12225 GREENVILLE AVE, STE 700, DALLAS, TX 75243(214) 477-5587(214) 242-2043 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Mary Kight Ph.d., Crc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY KIGHT PH.D., CRC (NPI 1245211036) is an individual psychologist in Dallas, Texas, licensed in Texas (30564) and active in the NPI registry since November 2005. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245211036
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY KIGHTCredential: PH.D., CRC
Location Address12225 GREENVILLE AVE, STE 700Dallas, TX 75243-9362
Mailing Address12225 Greenville Ave, Ste 700Dallas, TX 75243 · (214) 477-5587 · Fax (214) 242-2043
Fax(214) 242-2043
Sole ProprietorYes
Enumeration DateNovember 8, 2005
Last NPPES UpdateOctober 27, 2010
✔ NPI 1245211036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 30564
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
12225 GREENVILLE AVE, Dallas, TX 75243

Other Identifiers 1

Medicare ID-Type Unspecified00509ETX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Kight Ph.d., Crc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2012 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2012
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
12225 GREENVILLE AVE, SUITE 600
DALLAS, TX 75243
Occupational Therapist
12225 GREENVILLE AVE, SUITE 600
DALLAS, TX 75243
Physical Therapist
12225 GREENVILLE AVE
DALLAS, TX 75243
Dentist (General Practice)
12225 GREENVILLE AVE, SUITE 122
DALLAS, TX 75243
Physical Therapist
12225 GREENVILLE AVE, SUITE 600
DALLAS, TX 75243
Non-emergency Medical Transport (VAN)
12225 GREENVILLE AVE, SUITE 700
DALLAS, TX 75243
Speech-Language Pathologist
12225 GREENVILLE AVE
DALLAS, TX 75243
Psychologist (School)
12225 GREENVILLE AVE
DALLAS, TX 75243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kight's NPI number?

The NPI number for Mary Kight is 1245211036. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Mary Kight located?

Mary Kight practices at 12225 Greenville Ave Ste 700, Dallas, TX 75243. The listed phone number is (214) 477-5587.

What is Mary Kight's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mary Kight enrolled in Medicare?

No. Mary Kight has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Kight was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.