Active NPI
Victoria Nguyen
- Clinical Psychologist
- Round Rock, TX
National Provider Identifier
1053690339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38706
- Practice address
- 3000 Joe Dimaggio Blvd Ste C
Round Rock, TX 78665-3922 - Phone
- (512) 246-7225
- NPI assigned
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 38706 | TX | Primary |
Addresses
Primary practice location
3000 Joe Dimaggio Blvd Ste C
Round Rock, TX 78665-3922
Mailing address
3000 Joe Dimaggio Blvd Ste C
Round Rock, TX 78665-3922
Phone (512) 246-7225
Other practice location 1
934 N Mountain Ave
Suite C
Upland, CA 91786-3659
Phone (909) 579-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 8, 2023 through Aug 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38706 | TX | MD | Clinical Psychologist |
| 37806 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1053690339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 JOE DIMAGGIO BLVD STE C",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653922",
"telephone_number": "512-246-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 JOE DIMAGGIO BLVD STE C",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653922",
"telephone_number": "512-246-7225"
}
],
"practiceLocations": [
{
"address_1": "934 N Mountain Ave",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917863659",
"country_code": "US",
"telephone_number": "909-579-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.