DR. EDWARD H. KOTIN (PHD) – Clinical Psychologist, NPI 1689677239

DR. EDWARD H. KOTIN (PHD) is a healthcare provider. based in San marcos, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 25333 (TX). The NPI Number for DR. EDWARD H. KOTIN (PHD) is 1689677239

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD H. KOTIN (PHD)
NPI
1689677239
Phone
(512) 392-8105
Address
2106 QUAIL RUN
Enumeration Date
27 May 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123928106
Graduation Year
1984 (42 years ago)
PAC ID
7315907136
Group Practice PAC ID
4789840232
Professional Enrollment ID
I20041015000745
Address ID
TX786669495SA2106XRUNX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. EDWARD H. KOTIN (PHD)

  • 2106 QUAIL RUN

    SAN MARCOS, TX 786669495

    Phone: (512) 392-8105

    Fax: (512) 392-2701

    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: 2004-10-15

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
I20041015000745IClinical 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 78666)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789840232View full group profile
NameSpecialtyState
Clinical PsychologistTX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. EDWARD H. KOTIN (PHD)'s NPI?
Yes. DR. EDWARD H. KOTIN (PHD) is listed with NPI 1689677239 in the public NPI dataset.
Does the file indicate DR. EDWARD H. KOTIN (PHD) is practicing under active NPI?
Directory data currently reports DR. EDWARD H. KOTIN (PHD) as active.
What is DR. EDWARD H. KOTIN (PHD)'s primary classification?
Clinical Psychologist is the headline specialty for DR. EDWARD H. KOTIN (PHD) here. Clinical services aligned with this taxonomy classification.
What area does DR. EDWARD H. KOTIN (PHD) serve?
DR. EDWARD H. KOTIN (PHD)'s listing highlights San Marcos, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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