NPIMap

Organization Active NPI

Jaime Nelson Pmhnp

Doing business as Balcones Psychiatry and Mental Health

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1114568557
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JAIME NELSON PMHNP
Doing business as
Balcones Psychiatry and Mental Health
Practice address
314 E Highland Mall Blvd Ste 305
Austin, TX 78752-3731
Phone
(512) 807-0640
Fax
(737) 242-7961
NPI assigned
Oct 7, 2019
Last updated
Dec 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

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

Authorized official

Name
Jaime Nelson, PMHNP
Title
Owner
Phone
(512) 373-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

314 E Highland Mall Blvd Ste 305
Austin, TX 78752-3731

Mailing address

314 E Highland Mall Blvd Ste 305
Austin, TX 78752-3731
Phone (512) 807-0640

Other identifiers 1

IdentifierTypeStateIssuer
1326327313OtherTXNPI

Other names 1

  • Balcones Psychiatry and Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

2101 S Ih 35
Ste 220
Austin, TX 78741
Phone (512) 807-0640

314 E Highland Mall Blvd
Ste 305
Austin, TX 78752
Phone (512) 469-9447

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577577600000",
    "number": "1114568557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E HIGHLAND MALL BLVD STE 305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523731",
            "telephone_number": "512-807-0640",
            "fax_number": "737-242-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E HIGHLAND MALL BLVD STE 305",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523731",
            "telephone_number": "512-807-0640",
            "fax_number": "737-242-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME NELSON PMHNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-373-6280",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326327313",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balcones Psychiatry and Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balcones Psychiatry and Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 29, 2019; 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.