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DR. ANDREA KIRBY PSY.D.
NPI 1417306333
Psychologist - Clinical in Southlake, TX

Active since June 10, 2016Opted out of Medicare · through Jan 1, 2028
1340 N WHITE CHAPEL BLVD STE 130, SOUTHLAKE, TX 76092(817) 381-5259 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrea Kirby Psy.d. NPPES

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

DR. ANDREA KIRBY PSY.D. (NPI 1417306333) is an individual clinical provider in Southlake, Texas, licensed in Texas (37298) and active in the NPI registry since June 2016. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1417306333
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREA KIRBYCredential: PSY.D.
Location Address1340 N WHITE CHAPEL BLVD STE 130Southlake, TX 76092-4327
Mailing Address1340 N White Chapel Blvd Ste 130Southlake, TX 76092-4327 · (817) 381-5259
Phone(817) 381-5259
Sole ProprietorNo
Enumeration DateJune 10, 2016
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1417306333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 37298
Definition
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.
1340 N WHITE CHAPEL BLVD STE 130, Southlake, TX 76092
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Secondary Practice Location 1

Location 13500 Oak Lawn Ave, Suite 230Dallas, TX 75219-4308 · Phone (919) 244-4484

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. Andrea Kirby Psy.d. 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

THERLIVELY
Psychologist (Clinical)
1340 N WHITE CHAPEL BLVD STE 130
SOUTHLAKE, TX 76092
Tarrant County (817) 381-5259
MANDEE WILKINSON MA, LPA, LSSP, NCSP
Psychologist
1340 N WHITE CHAPEL BLVD STE 130
SOUTHLAKE, TX 76092
Tarrant County (817) 381-6569

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 Andrea Kirby's NPI number?

The NPI number for Andrea Kirby is 1417306333. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Andrea Kirby located?

Andrea Kirby practices at 1340 N White Chapel Blvd Ste 130, Southlake, TX 76092. The listed phone number is (817) 381-5259.

What is Andrea Kirby's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Andrea Kirby enrolled in Medicare?

No. Andrea Kirby has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrea Kirby was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.