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

Kiersten Victoria Sippio

Individual provider Clinical Psychologist · NPI 1689144842

Kiersten Victoria Sippio is a Clinical Psychologist in San Antonio, Texas. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
6
Licensed in
CO, TX
In the registry since
2018
Specialties on file
6
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Practice location Address checks out

4242 Medical Dr Ste 6300
San Antonio, TX 78229-5372
Phone: (844) 824-8775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4820 Rusina Rd Ste A, Colorado Springs, CO 80907-8127 — (504) 234-9433

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 38984 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY.0005776 (CO)
Clinical Psychologist Taxonomy 103TC0700X · Licence 38984 (TX)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY.0005776 (CO)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 38984 (TX)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1689144842
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2018
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Antonio