DR. KEVIN JOSTAN PRINCE PH.D. NPI 1104057066

NPI Information

NPI: 1104057066
Provider Name: DR. KEVIN JOSTAN PRINCE, PH.D.
Classification: Psychologist - 103TA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Individual
Address: 100 W. DEAN KEATON DRIVE
HEALTH PROMOTION RESOURCE CENTER, SSB 1.106
AUSTIN, TX
ZIP 78712
Phone: (512) 475-8252

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NPI Details

DR. Kevin Jostan Prince, PH.D. is an addiction (substance use disorder) psychologist in Austin, TX. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. DR. Kevin Jostan Prince, PH.D. NPI is 1104057066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 W. DEAN KEATON DRIVE
HEALTH PROMOTION RESOURCE CENTER, SSB 1.106
AUSTIN, TX
ZIP 78712
Phone: (512) 475-8252
Fax: (512) 475-8459

The enumeration date for this NPI number is 7/27/2009 and was last updated on 7/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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