Individual provider Active NPI

Madison Perry, PSYD

  • Clinical Psychologist
  • Pflugerville, TX
National Provider Identifier
1114682598
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39073 Issued in TX
Practice address
305 N Heatherwilde Blvd Ste 310
Pflugerville, TX 78660-4195
Phone
(512) 704-8349
Fax
(512) 693-4006
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 39073 TX Primary

Addresses

Primary practice location

305 N Heatherwilde Blvd Ste 310
Pflugerville, TX 78660-4195

Mailing address

305 N Heatherwilde Blvd Ste 310
Pflugerville, TX 78660-4195
Phone (512) 704-8349

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
I20220124001966 TX Practitioner - Clinical Psychologist 6507258522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39073TXMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Psychology and Behavioral Health Services LLC CurrentSince Nov 9, 2021 Accepting new patients
Austin Holistic Psychology Clinical Current Accepting new patients
Deer Oaks Geriatric Services P C Clinical CurrentSince Jan 10, 2022 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Locations

305 N Heatherwilde Blvd
Ste 310
Pflugerville, TX 78660
Phone (512) 704-8349

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 4

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1114682598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 310",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604195",
            "telephone_number": "512-704-8349",
            "fax_number": "512-693-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 310",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604195",
            "telephone_number": "512-704-8349",
            "fax_number": "512-693-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MADISON",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.