Individual provider Active NPI

Susan Marie Riley

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1144886474
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61458 Issued in TX
Practice address
8700 Manchaca Rd Ste 303
Austin, TX 78748-5374
Phone
(512) 704-8349
Fax
(512) 693-4006
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61458 TX Primary

Addresses

Primary practice location

8700 Manchaca Rd Ste 303
Austin, TX 78748-5374

Mailing address

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

Other practice location 1

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address administrator@insightpbhs.com

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
I20201230002380 TX Practitioner - Clinical Social Worker 3577976026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Psychology and Behavioral Health Services LLC CurrentSince Dec 22, 2020 Accepting new patients

Locations

8700 Menchaca Rd
Ste 303
Austin, TX 78748
Phone (512) 704-8349

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1144886474",
    "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": "8700 MANCHACA RD STE 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485374",
            "telephone_number": "512-704-8349",
            "fax_number": "512-693-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 N Heatherwilde Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786604195",
            "country_code": "US",
            "telephone_number": "512-704-8349",
            "fax_number": "512-693-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "administrator@insightpbhs.com",
            "affiliation": "N",
            "endpointDescription": "Practice Admin Email",
            "address_1": "305 N Heatherwilde Blvd Ste 310",
            "city": "Pflugerville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786604195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.