Active NPI
Desiree Lynne Misanko, M.A., PSY.D.
- Clinical Psychologist
- Fredericksburg, TX
National Provider Identifier
1013563915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 40450
- Practice address
- 705 N Pecan St
Fredericksburg, TX 78624-2639 - Phone
- (775) 750-2033
- NPI assigned
- Aug 15, 2019
- Last updated
- Jul 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Psychologist | 103TC0700X | 40450 | TX | Primary |
Addresses
Primary practice location
705 N Pecan St
Fredericksburg, TX 78624-2639
Mailing address
705 N Pecan St
Fredericksburg, TX 78624-2639
Phone (775) 750-2033
Other practice location 1
1665 Old Hot Springs Rd Ste 150
Carson City, NV 89706-0668
Phone (775) 687-0894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40450 | TX | MD | Clinical Psychologist |
Networks
- TX HMO D-SNP
- TX HMO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1013563915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 N PECAN ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786242639",
"telephone_number": "775-750-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N PECAN ST",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786242639",
"telephone_number": "775-750-2033"
}
],
"practiceLocations": [
{
"address_1": "1665 Old Hot Springs Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "NV",
"postal_code": "897060668",
"country_code": "US",
"telephone_number": "775-687-0894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISANKO",
"first_name": "DESIREE",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "M.A., PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "40450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, TX
- Mid-Texas Health Care Assn., P.a.
- Mikosh Drug Company, LLC (Gail's Apothecary)
- Erin Mills, PHARMD
- Frank Thomas Mills, PT.
- Lauren Youngblood Milvenan, DDS
- Michele Lord Moldenhauer, PHARMD
- Monica Marie Montgomery, DDS
- Jenny Rebecca Moores, L.P.C.
- Charles Ray Morgan Jr., LCSW
- MSP RX LLC (Hill Country Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.