Individual provider Active NPI

Christopher Demetriades

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1154990398
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
U9890 Issued in TX
Practice address
4131 Spicewood Springs Rd Ste G5
Austin, TX 78759-8659
Phone
(512) 985-9301
Fax
(512) 985-9281
NPI assigned
Jun 22, 2021
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X U9890 TX Primary

Addresses

Primary practice location

4131 Spicewood Springs Rd Ste G5
Austin, TX 78759-8659

Mailing address

4131 Spicewood Springs Rd Ste G5
Austin, TX 78759-8659
Phone (512) 985-9301

Other practice location 1

1165 Airport Blvd
Austin, TX 78702-3152
Phone (512) 472-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260402002105 CA Practitioner - Psychiatry 6103301536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Baylor College of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

331 C St
Martinez, CA 94553-3137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
U9890TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Wellness CurrentSince Oct 12, 2025 Accepting new patients
Ethos Prism, LLC PastSince Oct 12, 2025 Accepting new patients

Locations

4407 Bee Caves Rd
Ste 422
West Lake Hills, TX 78746
Phone (512) 469-0535

Interoperability endpoints

  • Direct secure messaging: christopher.demetriades.1@8363.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1154990398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE G5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598659",
            "telephone_number": "512-985-9301",
            "fax_number": "512-985-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE G5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598659",
            "telephone_number": "512-985-9301",
            "fax_number": "512-985-9281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787023152",
            "country_code": "US",
            "telephone_number": "512-472-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMETRIADES",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U9890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.