Individual provider Active NPI

Alba Eunice Lara, M.D.

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1073047767
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S5964 Issued in TX
Practice address
3501 Mills Ave
Ut Austin Dell Medical School Psychiatry
Austin, TX 78731-6309
Phone
(512) 324-2036
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Psychiatry Physician 2084P0800X S5964 TX Primary

Addresses

Primary practice location

3501 Mills Ave
Ut Austin Dell Medical School Psychiatry
Austin, TX 78731-6309

Mailing address

3501 Mills Ave
Ut Austin Dell Medical School Psychiatry
Austin, TX 78731-6309
Phone (512) 324-2036

Other practice location 1

303 Bryant St
Mountain View, CA 94041-1552
Phone (888) 601-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211008000299 TX Practitioner - Psychiatry 2961800743 Reassigns benefits to 7 organizations
I20231127003223 AZ Practitioner - Psychiatry 2961800743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-County ClinicalGroup PAC ID 1153502869, 27 clinicians
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

1201 W 38TH St Seton Medical Ctr a
Austin, TX 78705-1006
Phone (512) 324-1000

3501 Mills Ave
Austin, TX 78731-6309

3501 Mills Ave Seton Shoal Creek
Austin, TX 78731-6309
Phone (512) 324-2000

911 W 38TH St
Suite 101
Austin, TX 78705-9918
Phone (855) 481-8375

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S5964TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Trails Community MHMR Center CurrentSince Oct 22, 2021 Accepting new patients
Camino Real Community MHMR Center CurrentSince Oct 1, 2021 Accepting new patients
Tri-County Clinical CurrentSince Dec 10, 2023 Accepting new patients
Burke Center Psychiatry CurrentSince Sep 24, 2021 Accepting new patients
Texana Center CurrentSince Jan 11, 2022 Accepting new patients
Southtown Psychiatry PLLC Psychiatry CurrentSince May 23, 2024 Accepting new patients
Yuma Regional Medical Center CurrentSince Oct 23, 2023 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry CurrentSince Oct 22, 2021 Accepting new patients
Tri-County Clinical Current Accepting new patients
Serenity Integrated Psychiatry, PLLC Current Accepting new patients
Southtown Psychiatry PLLC Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Yuma Regional Medical Center CurrentSince Oct 23, 2023 Accepting new patients
Harbor Health Medical Group Psychiatry CurrentSince Feb 1, 2025 Accepting new patients
Mindstrong Health Services Co PC Psychiatry PastSince Nov 21, 2021 Accepting new patients
Burke Center PastSince Sep 24, 2021 Accepting new patients
Mindstrong Health Services, PC Psychiatry PastSince Feb 26, 2019 Accepting new patients
Austin Behavioral Hospital, LLC Past Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

8402 Cross Park Dr
Austin, TX 78754
Phone (512) 215-3900

3340 Plaza 10 Dr
Beaumont, TX 77707
Phone (409) 835-0835

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

909 NE Loop 410
Ste 600
San Antonio, TX 78209
Phone (210) 332-2727

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alba.lara.1@28292.direct.athenahealth.com
  • Direct secure messaging: alara71844@direct.sw.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1073047767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MILLS AVE",
            "address_2": "UT AUSTIN DELL MEDICAL SCHOOL PSYCHIATRY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316309",
            "telephone_number": "512-324-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MILLS AVE",
            "address_2": "UT AUSTIN DELL MEDICAL SCHOOL PSYCHIATRY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316309",
            "telephone_number": "512-324-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Bryant St",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940411552",
            "country_code": "US",
            "telephone_number": "888-601-0499",
            "fax_number": "650-242-7520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARA",
        "first_name": "ALBA",
        "middle_name": "EUNICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S5964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.