Organization Active NPI

Zegema Professional Resource Center

Doing business as Professional Resource Center

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1023325032
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34416 Issued in TX
Legal business name
ZEGEMA PROFESSIONAL RESOURCE CENTER
Doing business as
Professional Resource Center
Practice address
1825 Fort VW
Suite 101
Austin, TX 78704-7657
Phone
(512) 541-2133
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Dr. John David Huber Sr., PSYD
Title
Clinical Psychologist
Phone
(512) 541-2133

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 34416 TX Primary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 30636 TX

Addresses

Primary practice location

1825 Fort VW
Suite 101
Austin, TX 78704-7657

Mailing address

1825 Fort VW
Suite 101
Austin, TX 78704-7657
Phone (512) 541-2133

Other names 1

  • Professional Resource Center Doing business as

National Provider Directory

National Provider Directory

Locations

1825 Fortview Rd
Ste 101
Austin, TX 78704
Phone (512) 451-2133

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1023325032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FORT VW",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047657",
            "telephone_number": "512-541-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FORT VW",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047657",
            "telephone_number": "512-541-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEGEMA PROFESSIONAL RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-541-2133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34416",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "30636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.