Organization Active NPI

Austin Psychiatric Alliance, PLLC

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1053591339
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AUSTIN PSYCHIATRIC ALLIANCE, PLLC
Practice address
4101 Parkstone Heights Dr Ste 360
Austin, TX 78746-7482
Phone
(512) 637-9090
Fax
(512) 340-0096
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Dr. Mark Allen Esche, M.D.NPI 1174622740
Title
Owner
Phone
(512) 637-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary
Adult Mental Health Clinic/Center 261QM0850X L3636 TX

Addresses

Primary practice location

4101 Parkstone Heights Dr Ste 360
Austin, TX 78746-7482

Mailing address

4101 Parkstone Heights Dr Ste 360
Austin, TX 78746-7482
Phone (512) 637-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090826000728 TX Part B Supplier - Clinic/Group Practice 8921153909 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

4101 Parkstone Heights Dr
Ste 360
Austin, TX 78746
Phone (512) 637-9090

3636 Executive Center Dr
Ste 158
Austin, TX 78731
Phone (512) 637-9090

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1053591339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 PARKSTONE HEIGHTS DR STE 360",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467482",
            "telephone_number": "512-637-9090",
            "fax_number": "512-340-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 PARKSTONE HEIGHTS DR STE 360",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467482",
            "telephone_number": "512-637-9090",
            "fax_number": "512-340-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PSYCHIATRIC ALLIANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "ESCHE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-637-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "L3636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.