NPIMap

Organization Active NPI

Austin Anxiety and Behavioral Health Services

  • Clinical Psychologist
  • Round Rock, TX
National Provider Identifier
1083950091
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36270 Issued in TX
Legal business name
AUSTIN ANXIETY AND BEHAVIORAL HEALTH SERVICES
Practice address
3000 Joe Dimaggio Blvd
Ste 66
Round Rock, TX 78665-3922
Phone
(512) 568-2927
NPI assigned
Dec 19, 2012
Last updated
Dec 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Dr. Misti Nicholson, PSYDNPI 1811151582
Title
Owner
Phone
(512) 568-2927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36270 TX Primary

Addresses

Primary practice location

3000 Joe Dimaggio Blvd
Ste 66
Round Rock, TX 78665-3922

Mailing address

3000 Joe Dimaggio Blvd
Ste 66
Round Rock, TX 78665-3922

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1083950091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD",
            "address_2": "STE 66",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD",
            "address_2": "STE 66",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653922",
            "telephone_number": "512-568-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ANXIETY AND BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "MISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-568-2927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36270",
            "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 Dec 19, 2012; 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.