Individual provider Active NPI

Paula Floyd, PHD

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1023878022
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
40064 Issued in TX
Practice address
9701 Brodie LN Ste 205
Austin, TX 78748-6284
Phone
(737) 808-4014
NPI assigned
Mar 19, 2024
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 40064 TX Primary

Addresses

Primary practice location

9701 Brodie LN Ste 205
Austin, TX 78748-6284

Mailing address

3631 Ottati PL
Round Rock, TX 78665-2930
Phone (270) 498-5145

Other practice location 1

2520 Longview St Ste 410
Austin, TX 78705-4257
Phone (737) 808-4014

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
I20250131000220 TX Practitioner - Clinical Psychologist 4688103948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

3626 Williams Dr
Suite 100
Georgetown, TX 78628-4092
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
40064TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center LLC, CurrentSince Jun 6, 2025 Accepting new patients
Family Care Center, LLC Clinical CurrentSince Jun 6, 2025 Accepting new patients
Siebert Psychological Services PLLC Clinical CurrentSince Jan 23, 2025 Accepting new patients

Locations

9701 Brodie Ln
Ste 205
Austin, TX 78748
Phone (281) 636-0451

3626 Williams Dr
Ste 100
Georgetown, TX 78628
Phone (512) 643-0659

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1023878022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 OTTATI PL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652930",
            "telephone_number": "270-498-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 BRODIE LN STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486284",
            "telephone_number": "737-808-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Longview St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787054257",
            "country_code": "US",
            "telephone_number": "737-808-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "PAULA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.