Individual provider Active NPI

Melba J Vasquez, PHD

  • Counseling Psychologist
  • Austin, TX
National Provider Identifier
1174654735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
22529 Issued in TX
Practice address
2901 Bee Cave Rd
Box N
Austin, TX 78746-5584
Phone
(512) 329-8000
Fax
(512) 329-8299
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 22529 TX Primary

Addresses

Primary practice location

2901 Bee Cave Rd
Box N
Austin, TX 78746-5584

Mailing address

2901 Bee Cave Rd
Box N
Austin, TX 78746-5584
Phone (512) 329-8000

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
I20120809000832 TX Practitioner - Clinical Psychologist 2264688043 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2901 Bee Cave Rd Box N
Austin, TX 78746-5571

2901 Bee Caves Rd
Suite N
Austin, TX 78746-5571
Phone 51232980005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22529TXMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174654735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BEE CAVE RD",
            "address_2": "BOX N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465584",
            "telephone_number": "512-329-8000",
            "fax_number": "512-329-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BEE CAVE RD",
            "address_2": "BOX N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465584",
            "telephone_number": "512-329-8000",
            "fax_number": "512-329-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MELBA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "22529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.