NPIMap

Organization Active NPI

Mauro Psychological Services PLLC

  • Psychologist
  • Austin, TX
National Provider Identifier
1083036131
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34652 Issued in TX
Legal business name
MAURO PSYCHOLOGICAL SERVICES PLLC
Practice address
316 W 12TH St
Suite 602
Austin, TX 78701-1815
Phone
(512) 551-0601
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Marisa Mauro, PSY.D.NPI 1669603932
Title
Psychologist / Owner
Phone
(512) 551-0601

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 34652 TX Primary

Addresses

Primary practice location

316 W 12TH St
Suite 602
Austin, TX 78701-1815

Mailing address

316 W 12TH St
Suite 602
Austin, TX 78701-1815

National Provider Directory

National Provider Directory

Locations

316 W 12th St
Ste 602
Austin, TX 78701
Phone (512) 551-0601

Practitioners & affiliated clinicians

Practitioners 1

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": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1083036131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 12TH ST",
            "address_2": "SUITE 602",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 12TH ST",
            "address_2": "SUITE 602",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011815",
            "telephone_number": "512-551-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURO PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "512-551-0601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34652",
            "primary": true
        }
    ],
    "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 Jan 9, 2014; 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.