Round Rock Square Hole PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ROUND ROCK SQUARE HOLE PLLC

Practice address

1311 Chisholm Trail Rd Ste 103
Round Rock, TX 78681-2969

Phone

(512) 686-5578

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael Mason, PSYDNPI 1013190065

Title

Owner

Phone

(512) 686-5578

Specialties & licenses 1

Addresses

Other names 1

• Michael Mason Other name

Locations

Practitioners 2

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

• Michael R. Mason

  • Clinical Psychologist
  • Wesley Chapel, FL
  • NPI 1013190065
  NPD Authorized official
• Jessika M Pecina

  • Mental Health Counselor
  • Round Rock, TX
  • NPI 1215773353
  NPD

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1093427478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 CHISHOLM TRAIL RD STE 103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812969",
            "telephone_number": "512-686-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 CHISHOLM TRAIL RD STE 103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812969",
            "telephone_number": "512-686-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUND ROCK SQUARE HOLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-686-5578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Mason",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Round Rock OBGYN PA
• Round Rock Orthotics & Prosthetics, Inc.
• Round Rock Rehab, PC
• Round Rock SCC LLC
• Round Rock SNF Operations LLC
• Round Rock Surgery Center
• Round Rock Surgery Center LLC
• Round Rock Trauma Surgeons, PLLC
• Round Rock TX Caregiving LLC
• Round Rock Wound & Rehab Center, LP

• Clinical Psychologist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.