JOHN BREEDING (PHD) – Counseling Psychologist, NPI 1174542922

JOHN BREEDING (PHD) is a healthcare provider. based in Austin, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 03218 (TX). The NPI Number for JOHN BREEDING (PHD) is 1174542922

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BREEDING (PHD)
NPI
1174542922
Phone
(512) 799-3610
Address
5306 FORT CLARK DR
Enumeration Date
19 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS AT AUSTIN DELL MEDICAL SCHOOL
Secondary Phone
5133268326
Graduation Year
1983 (43 years ago)
PAC ID
5193729564
Professional Enrollment ID
I20060828000353
Address ID
TX787045912AU3625XRDXX312
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for JOHN BREEDING (PHD)

  • 5306, Fort Clark Drive, Battle Bend Springs, Austin, Travis County, Texas, 78745, United States

    AUSTIN, TX 787452356

    Phone: (512) 799-3610

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060828000353IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78745)

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Reviews

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Frequently asked questions

What is the registry number for JOHN BREEDING (PHD)?
The registry entry for JOHN BREEDING (PHD) shows NPI 1174542922.
Does the public listing show JOHN BREEDING (PHD) as active?
JOHN BREEDING (PHD)'s NPI record reflects an active status in NPPES.
What does the directory say JOHN BREEDING (PHD) does?
Insurance directories may phrase it differently, but here JOHN BREEDING (PHD) maps to Counseling Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN BREEDING (PHD)?
JOHN BREEDING (PHD) is associated with Austin, Texas in the same public data insurers reference.
Who maintains JOHN BREEDING (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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