Pennington Psychology, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PENNINGTON PSYCHOLOGY, PLLC

Practice address

1021 RR 620 S Ste B
Lakeway, TX 78734-5611

Phone

(512) 537-0980

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Charlotte Pennington, PH.D.NPI 1174158885

Title

Owner, Licensed Psychologist

Phone

(713) 828-8788

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Pennington

  • Clinical Psychologist
  • Lakeway, TX
  • NPI 1174158885
  NPD Authorized official

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1184259897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E STASSNEY LN APT 1434",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 RR 620 S STE B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345611",
            "telephone_number": "512-537-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "713-828-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Dawn Payton, MS, CCC-SLP
• Pedersen Counseling PLLC
• Kelly Leigh Pedersen, LPC
• Pelvic Protocol PLLC
• Sonia Anna Penaroza, AU.D.
• Charlotte Pennington
• Isai Perez
• Norma Jean Perez, PH.D.
• Katherine Blake Perini, PA-C
• Truly Peterson, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.