Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kipp Ryan Pietrantonio, PHD

Individual provider Psychologist · NPI 1558831933

Dr. Kipp Ryan Pietrantonio, PHD is a Clinical Psychologist in Dallas, Texas. Qualified in 2013, 13 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2018
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6363 Forest Park Rd 7th Fl Ste 749
Dallas, TX 75390-9121
Phone: (214) 645-8500
Fax: (214) 648-3775
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 38066 (TX)

Record details

NPI number1558831933
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 28, 2018
Last updated in NPPESNovember 28, 2018
Mailing address6363 Forest Park Rd 7th Floor Ste 749, Dallas, TX 75390-9121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Dallas