Austin Mind and Behavioral Health, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AUSTIN MIND AND BEHAVIORAL HEALTH, LLC

Practice address

11673 Jollyville Rd Ste 201
Austin, TX 78759-4211

Phone

(512) 903-6173

NPI assigned

Apr 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Amjadullah Khan, MDNPI 1568667251

Title

Manager

Phone

(512) 903-6173

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Austin Mind and Behavioral Health Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Mohammad Amjadullah Khan, M.D.

  • Psychiatry Physician
  • Austin, TX
  • NPI 1568667251
  NPD Authorized official

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554595200000",
    "number": "1063975134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594211",
            "telephone_number": "512-903-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594211",
            "telephone_number": "512-903-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN MIND AND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "AMJADULLAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-903-6173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12032352",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "austinmbhealth@gmx.com",
            "affiliation": "N",
            "address_1": "11673 Jollyville Rd Ste 201",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787594211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Austin Mind and Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Austin Med Group Inc
• Austin Medical Group PLLC
• Austin Medical Partners-Imc Louis Ealdama Ramos MD PLLC
• Austin Medicine
• Austin Mental Wellness, PLLC
• Austin Mind Body
• Austin Mind Care PLLC
• Austin Mindfulness PLLC
• Austin Minor Emergency Clinic
• Austin Modern Dentistry, PC

• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; 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.