Active NPI
Ronald S Cristobal, M.D.
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1184855975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- BP1-0035986
- Practice address
- 3501 Mills Ave
Amep Department of Psychiatry
Austin, TX 78731-6309 - Phone
- (512) 324-2080
- Fax
- (512) 324-2084
- NPI assigned
- Jul 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | BP1-0035986 | TX | Primary |
Addresses
Primary practice location
3501 Mills Ave
Amep Department of Psychiatry
Austin, TX 78731-6309
Mailing address
3501 Mills Ave
Amep Department of Psychiatry
Austin, TX 78731-6309
Phone (512) 324-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0035986 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1184855975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 MILLS AVE",
"address_2": "AMEP DEPARTMENT OF PSYCHIATRY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316309",
"telephone_number": "512-324-2080",
"fax_number": "512-324-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 MILLS AVE",
"address_2": "AMEP DEPARTMENT OF PSYCHIATRY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316309",
"telephone_number": "512-324-2080",
"fax_number": "512-324-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTOBAL",
"first_name": "RONALD",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "BP1-0035986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.