Individual provider Active NPI

Joshua Paul Maniscalco, M.D.

  • Psychiatry Physician
  • West Lake Hills, TX
National Provider Identifier
1134328651
Registry record updated May 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N3862 Issued in TX
Practice address
5000 Bee Caves Rd
Suite 104
West Lake Hills, TX 78746-5266
Phone
(512) 600-3121
Fax
(512) 600-3122
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X N3862 TX
Psychiatry Physician 2084P0800X N3862 TX Primary

Addresses

Primary practice location

5000 Bee Caves Rd
Suite 104
West Lake Hills, TX 78746-5266

Mailing address

5000 Bee Caves Rd
Suite 104
West Lake Hills, TX 78746-5266
Phone (512) 600-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N3862TXMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273363200000",
    "number": "1134328651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD",
            "address_2": "SUITE 104",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465266",
            "telephone_number": "512-600-3121",
            "fax_number": "512-600-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD",
            "address_2": "SUITE 104",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465266",
            "telephone_number": "512-600-3121",
            "fax_number": "512-600-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2010-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "N3862",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N3862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2010; 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.