Active NPI
Olive Branch Wellness, PLLC
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1144619529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P2594
- Legal business name
- OLIVE BRANCH WELLNESS, PLLC
- Practice address
- 3705 Medical Pkwy
Suite 360
Austin, TX 78705-1019 - Phone
- (512) 814-6872
- Fax
- (888) 909-8093
- NPI assigned
- Jan 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Oliver Bernhardt, D.O.
- Title
- Psychiatrist
- Phone
- (512) 814-6872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | P2594 | TX | Primary |
Addresses
Primary practice location
3705 Medical Pkwy
Suite 360
Austin, TX 78705-1019
Mailing address
3705 Medical Pkwy
Suite 360
Austin, TX 78705-1019
Phone (512) 814-6872
National Provider Directory
National Provider DirectoryLocations
3705 Medical Pkwy
Ste 360
Austin, TX 78705
Phone (512) 452-3392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421884800000",
"number": "1144619529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY",
"address_2": "SUITE 360",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051019",
"telephone_number": "512-814-6872",
"fax_number": "888-909-8093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY",
"address_2": "SUITE 360",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051019",
"telephone_number": "512-814-6872",
"fax_number": "888-909-8093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE BRANCH WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-22",
"last_updated": "2015-01-22",
"status": "A",
"authorized_official_last_name": "BERNHARDT",
"authorized_official_first_name": "OLIVER",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "512-814-6872",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P2594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.