Individual provider Active NPI

Albabeth Sarraga Rios, PSY D

  • Psychologist
  • Austin, TX
National Provider Identifier
1033720305
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38502 Issued in TX
Practice address
2500 W William Cannon Dr Suite 703
Austin, TX 78774-3070
Phone
(512) 494-4162
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38502 TX Primary

Addresses

Primary practice location

2500 W William Cannon Dr Suite 703
Austin, TX 78774-3070

Mailing address

2500 W William Cannon Dr Ste 703
Austin, TX 78745-5252
Phone (512) 494-4162

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
I20221115001023 TX Practitioner - Clinical Psychologist 5890163331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute of Neuropsychological Healthcare, PLLCGroup PAC ID 6800209255, 3 clinicians

Practice addresses (Care Compare)

9500 Ray White Rd
Suite 200
Fort Worth, TX 76244-9105
Phone (682) 600-3171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38502TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute of Neuropsychological Healthcare, PLLC CurrentSince Oct 31, 2022 Accepting new patients
Psicologia Psychology PLLC Psychologist CurrentSince Jan 26, 2022 Accepting new patients

Locations

2500 W William Cannon Dr
Ste 703
Austin, TX 78745
Phone (512) 494-4162

9500 Ray White Rd
Ste 200
Fort Worth, TX 76244
Phone (972) 548-2163

Organizations & group practices 2

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1033720305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR STE 703",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455252",
            "telephone_number": "512-494-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR SUITE 703",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787743070",
            "telephone_number": "512-494-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARRAGA RIOS",
        "first_name": "ALBABETH",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2022-01-21",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.