Individual provider Active NPI

Laura Elizabeth Amoscato, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Cedar Park, TX
National Provider Identifier
1083047880
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
36550 Issued in TX
Practice address
901 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-3999
Phone
(512) 686-0207
Fax
(512) 257-1763
NPI assigned
Aug 15, 2013
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 36550 TX Primary

Addresses

Primary practice location

901 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-3999

Mailing address

901 Cypress Creek Rd Ste 102
Cedar Park, TX 78613-3999
Phone (512) 686-0207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230526001080 TX Practitioner - Clinical Psychologist 4385872589 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36550TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Clinical Current Accepting new patients
Tri-County Clinical CurrentSince Apr 17, 2023 Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

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

4900 Mueller Blvd
#2S
Austin, TX 78723
Phone (512) 324-3315

Interoperability endpoints

  • Direct secure messaging: laura.amoscato.1@8363.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1083047880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CYPRESS CREEK RD STE 102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133999",
            "telephone_number": "512-686-0207",
            "fax_number": "512-257-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CYPRESS CREEK RD STE 102",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133999",
            "telephone_number": "512-686-0207",
            "fax_number": "512-257-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOSCATO",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "36550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.