Organization Active NPI

Autism Advantage, LLP.

  • Psychologist
  • Austin, TX
National Provider Identifier
1043571334
Registry record updated Jun 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33891 Issued in TX
Legal business name
AUTISM ADVANTAGE, LLP.
Practice address
1004 W 31St St
Austin, TX 78705-2002
Phone
(512) 650-8639
NPI assigned
Jun 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2012

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

Authorized official

Name
Dr. Chris Smith, PHD
Title
Owner/ Psychologist
Phone
(512) 650-8639

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 33891 TX Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 3727 CO

Addresses

Primary practice location

1004 W 31St St
Austin, TX 78705-2002

Mailing address

1004 W 31St St
Austin, TX 78705-2002
Phone (512) 650-8639

Other names 1

  • Autism Advantage Other name

National Provider Directory

National Provider Directory

Locations

1004 W 31st St
Austin, TX 78705
Phone (512) 466-1486

NPI Registry JSON

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338681600000",
    "number": "1043571334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 31ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052002",
            "telephone_number": "512-650-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 31ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052002",
            "telephone_number": "512-650-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM ADVANTAGE, LLP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-03",
        "last_updated": "2012-06-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-650-8639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33891",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Advantage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 3, 2012; 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.