Active NPI
Carissa Cerda, PH.D.
- Psychologist
- West Lake Hills, TX
National Provider Identifier
1003339409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 37492
- Practice address
- 5524 Bee Caves Rd Ste E3
West Lake Hills, TX 78746-5249 - Phone
- (512) 246-7225
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 37492 | TX | Primary |
Addresses
Primary practice location
5524 Bee Caves Rd Ste E3
West Lake Hills, TX 78746-5249
Mailing address
10300 Jollyville Rd Apt 713
Austin, TX 78759-5659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 7, 2023 through Aug 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37492 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1003339409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 JOLLYVILLE RD APT 713",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5524 BEE CAVES RD STE E3",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465249",
"telephone_number": "512-246-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERDA",
"first_name": "CARISSA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "37492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lake Hills, TX
- Center for Cosmetic Dentistry West Austin
- Central Texas Dermatology, PA
- Central Texas Rhuematology P.a.
- Central Texas Surgical Assist, L.L.C.
- Eduardo J. Cepeda, M.D.
- Chasee Suzanne Chappell Hudgins, PSY.D.
- Elizabeth Hayen Charrier, L.P.
- Olivia Mei Chen, MD
- Ricardo Chica, DPM
- China Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.