Organization Active NPI

Mochina, LLC

  • Psychologist
  • Austin, TX
National Provider Identifier
1154777894
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34284 Issued in TX
Legal business name
MOCHINA, LLC
Practice address
12741 Research Blvd
Suite 301
Austin, TX 78759-4388
Phone
(614) 802-1958
NPI assigned
May 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
James Shaw, PHD
Title
Owner
Phone
(614) 802-1958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 34284 TX Primary

Addresses

Primary practice location

12741 Research Blvd
Suite 301
Austin, TX 78759-4388

Mailing address

12741 Research Blvd
Suite 301
Austin, TX 78759-4388
Phone (614) 802-1958

Other names 1

  • Genuine Psychology Center Doing business as

National Provider Directory

National Provider Directory

Locations

12741 Research Blvd
Ste 301
Austin, TX 78759
Phone (512) 336-9331

10713 N FM 620 Rd
Ste 421
Austin, TX 78726
Phone (512) 800-0222

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1154777894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 RESEARCH BLVD",
            "address_2": "SUITE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594388",
            "telephone_number": "614-802-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 RESEARCH BLVD",
            "address_2": "SUITE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594388",
            "telephone_number": "614-802-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCHINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-802-1958",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genuine Psychology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 12, 2016; 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.