Alexandra Lin Elliot, PHD, LP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

38457 Issued in TX

Practice address

2900 N Quinlan Park Rd Ste 250
Austin, TX 78732-6088

Phone

(512) 506-1980

Fax

(512) 387-9734

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Bridges Academy Austin

  • Clinical Neuropsychologist
  • Austin, TX
  • NPI 1497477954
  NPD Authorized official
• Bright Minds Institute, PLLC

  dba Bright Minds Institute

  • Clinical Neuropsychologist
  • Austin, TX
  • NPI 1649943663
  NPD Authorized official

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1124791140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N QUINLAN PARK RD STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326088",
            "telephone_number": "512-506-1980",
            "fax_number": "512-387-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N QUINLAN PARK RD STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326088",
            "telephone_number": "512-506-1980",
            "fax_number": "512-387-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "ALEXANDRA",
        "middle_name": "LIN",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38457",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38457",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "38457",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "TX",
            "license": "38457",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "38457",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "38457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory R Ellerbroek, D.C.
• Ellie Rogers Counseling PLLC
• Josiah Taylor Ellington, APRN
• Kent T Ellington, M.D.
• Matthew David Ellington, M.D.
• Elliott and Grace LLC (Selah Psychiatry)
• Abby Elliott, ATC, LAT
• Chenita Ann Elliott, LVN
• Debra A Elliott, LCSW, LCDC
• Jordan Elliott, LPC, LCDC

• Clinical Neuropsychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.