Individual provider Active NPI

Tyson Karl Lippe, M.D.

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1164804282
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S2395 Issued in TX
Practice address
3705 Medical Pkwy Ste 410
Austin, TX 78705-1023
Phone
(512) 320-5779
Fax
(512) 980-8762
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X S2395 TX Primary
Psychiatry Physician 2084P0800X LL38498 SC

Addresses

Primary practice location

3705 Medical Pkwy Ste 410
Austin, TX 78705-1023

Mailing address

4404 E Hove Loop
Austin, TX 78749-1118

Other practice location 1

1910 S Stapley Dr Ste 209
Mesa, AZ 85204-6679
Phone (480) 351-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190813002728 TX Practitioner - Psychiatry 7113216888 Reassigns benefits to 2 organizations
I20241205002794 AZ Practitioner - Psychiatry 7113216888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, shared by 5 NPIs, 703 clinicians

Practice addresses (Care Compare)

1910 S Stapley Dr
Suite 209
Mesa, AZ 85204-6679
Phone (888) 362-5953

3705 Medical Pkwy
Suite 410
Austin, TX 78705-1023
Phone (888) 374-5066

8701 Menchaca Rd
Suite 102
Austin, TX 78748-5383
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S2395TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Family Care Center LLC, CurrentSince Sep 1, 2023 Accepting new patients
Kotel Atx CurrentSince Feb 22, 2021 Accepting new patients
Lone Star Circle of Care PastSince Jul 25, 2019 Accepting new patients

Locations

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

Interoperability endpoints

  • Direct secure messaging: tyson.lippe.p1@direct.lscctx.nextgenshare.com

Organizations & group practices 4

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1164804282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 E HOVE LOOP",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-320-5779",
            "fax_number": "512-980-8762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 S Stapley Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046679",
            "country_code": "US",
            "telephone_number": "480-351-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPPE",
        "first_name": "TYSON",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S2395",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL38498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.