Individual provider Active NPI

Janna Oddie Cavanaugh, PSY D

  • Psychologist
  • Pflugerville, TX
National Provider Identifier
1013023605
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33590 Issued in TX
Practice address
305 N Heatherwilde Blvd
Ste 310
Pflugerville, TX 78660-4195
Phone
(512) 787-9595
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY18378 CA
Psychologist 103T00000X 33590 TX Primary

Addresses

Primary practice location

305 N Heatherwilde Blvd
Ste 310
Pflugerville, TX 78660-4195

Mailing address

305 N Heatherwilde Blvd Ste 310
Pflugerville, TX 78660-4195
Phone (512) 704-8349

Other names 1

  • Dr. Janna Leigh Oddie Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130226000065 TX Practitioner - Clinical Psychologist 0345495214 Reassigns benefits to 2 organizations
Practice locations: Pflugerville, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Malone MD PAGroup PAC ID 2567369424, 102 clinicians

Practice addresses (Care Compare)

3418 N Lamar Blvd
Suite 100
Austin, TX 78705-1116
Phone (512) 244-4272

6000 S Mopac
Suite 100
Austin, TX 78749
Phone (512) 244-4272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY18378CAMDPsychologist
33590TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Malone MD PA Current Accepting new patients
Mark Malone MD PA CurrentSince Jul 17, 2019 Accepting new patients
Insight Psychology and Behavioral Health Services LLC Psychologist CurrentSince Apr 18, 2018 Accepting new patients
Mark Malone, MD PA CurrentSince Jul 17, 2019 Accepting new patients
Psychological Arts Past Accepting new patients

Locations

8700 Menchaca Rd
Ste 303
Austin, TX 78748
Phone (512) 704-8349

6000 S Mopac Expy
Ste 100
Austin, TX 78749

3418 N Lamar Blvd
Ste 100
Austin, TX 78705

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

305 N Heatherwilde Blvd
Ste 310
Pflugerville, TX 78660
Phone (512) 704-8349

2000 S Mays St
Ste 201
Round Rock, TX 78664
Phone (512) 492-3743

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP
  • TX HMO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24201/brand/1/csg/1/fhir/r4
  • Direct secure messaging: janna.oddie.cavanaugh.1@24201.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1013023605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 310",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604195",
            "telephone_number": "512-704-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD",
            "address_2": "STE 310",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604195",
            "telephone_number": "512-787-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "JANNA",
        "middle_name": "ODDIE",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18378",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNA",
            "last_name": "ODDIE",
            "middle_name": "LEIGH",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.