Individual provider Active NPI

Deborah A Rich, PHD

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1104943265
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
40773 Issued in TX
Practice address
1515 S Capital of Texas Hwy Ste 300&301
Austin, TX 78746-6579
Phone
(832) 895-0098
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 40773 TX Primary

Addresses

Primary practice location

1515 S Capital of Texas Hwy Ste 300&301
Austin, TX 78746-6579

Mailing address

1515 S Capital of Texas Hwy Ste 300&301
Austin, TX 78746-6579
Phone (832) 895-0098

Other identifiers 1

IdentifierTypeStateIssuer
6301008204OtherMISTATE LICENSE

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
I20250708002024 TX Practitioner - Clinical Psychologist 0648222430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

1515 S Capital of Texas Hwy
Suite 300
Austin, TX 78746-6544
Phone (844) 824-8775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40773TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Clinical CurrentSince Jun 20, 2025 Accepting new patients
Clementine Counseling PastSince Dec 1, 2007 Accepting new patients
Mind & Mood Clinic, PLLC Clinical Past Accepting new patients

Locations

1515 S Capital of Texas Hwy
Ste 300301
Austin, TX 78746
Phone (832) 895-0098

1515 S Capital of Texas Hwy
Ste 300
Austin, TX 78746
Phone (512) 736-6743

431 E State Highway 114
Ste 140
Southlake, TX 76092
Phone (817) 751-7802

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1104943265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S CAPITAL OF TEXAS HWY STE 300&301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466579",
            "telephone_number": "832-895-0098",
            "fax_number": "586-323-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CAPITAL OF TEXAS HWY STE 300&301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466579",
            "telephone_number": "832-895-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6301008204",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.