Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558831933 Individual Practitioner Male Practitioner

Dr. Kipp Ryan Pietrantonio , PhD

Psychologist • Dallas, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kipp Pietrantonio, PhD is a certified Psychologist practicing in Dallas, TX. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Pietrantonio delivers high-quality medical care to the local community at 6363 FOREST PARK RD, 7TH FLOOR.

Dr. Pietrantonio is affiliated with University Of Texas Southwestern Medical Center At Dallas and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6363 Forest Park Rd, 7th Floor
Ste. 749

Dallas, TX 753909121

Telephone 2146458500
Fax 2146483775
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Dallas, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -5.8 yrs vs City Avg
City Avg: 18.8 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
263 Specialists

Practicing in Dallas, TX (2266 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pietrantonio (13 Years) 13 Yrs
Dallas Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
37 14 $501.00 $147.52

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 38066

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.

Hospital & Practice Group Affiliations

University Of Texas Southwestern Medical Center At Dallas

6363 Forest Park Rd, Dallas, TX 753909087

Phone: 2146458500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Shirali Patel , MD

Psychiatry & Neurology - Psychiatry

NPI 1003173014

Doctor of Medicine (M.D.)

Taylor Pack , PA

Physician Assistant

NPI 1033882840

Physician Assistant

Dr. Tarek Rajji , MD

Psychiatry & Neurology - Psychiatry

NPI 1043051394

Doctor of Medicine (M.D.)

Amanda Bower

Social Worker - Clinical

NPI 1114290202
Shane Tipton , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114321775

Nurse Practitioner

Dr. Mary Bret , MD

Psychiatry & Neurology - Psychiatry

NPI 1124080296

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 28, 2018

Registered at 6363 FOREST PARK RD, 7TH FLOOR, STE. 749, DALLAS, TX 753909121 (Tel: 2146458500)

📍
Updated Business Mailing Address November 28, 2018

Registered at 6363 FOREST PARK RD 7TH FLOOR STE 749, DALLAS, TX 753909121 (Tel: 2146458500)

👤
Provider Name / Credentials Updated November 28, 2018

Recorded as KIPP PIETRANTONIO, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2018

Psychologist (License #38066 in TX)

🟢
Initial NPI Registration & Enumeration November 28, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558831933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2018
Last Update: November 28, 2018
Sole Proprietor: No

Mailing Address

6363 Forest Park Rd 7th Floor Ste 749

Dallas, TX 753909121

Phone: 2146458500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.