Organization Active NPI

Mischca T. Scales, PHD, PLLC

  • Clinical Psychologist
  • Bastrop, TX
National Provider Identifier
1194040709
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31559 Issued in TX
Legal business name
MISCHCA T. SCALES, PHD, PLLC
Practice address
111 N Hasler Blvd
Suite 207
Bastrop, TX 78602-3831
Phone
(512) 507-6342
Fax
(512) 531-9271
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Authorized official

Name
Mischca T Scales, PHD
Title
Psychologist
Phone
(512) 507-6342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 31559 TX Primary

Addresses

Primary practice location

111 N Hasler Blvd
Suite 207
Bastrop, TX 78602-3831

Mailing address

7417 Turnbuoy Dr
Austin, TX 78730-4333
Phone (512) 507-6342

Other identifiers 3

IdentifierTypeStateIssuer
161254101MedicaidTX
86843AOtherTXBLUE CROSS BLUE SHIELD
600663363OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

111 N Hasler Blvd
Ste 207
Bastrop, TX 78602
Phone (512) 507-6342

815 Highway 71 W
Ste 1150
Bastrop, TX 78602
Phone (512) 321-1098

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1194040709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 TURNBUOY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787304333",
            "telephone_number": "512-507-6342",
            "fax_number": "512-531-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HASLER BLVD",
            "address_2": "SUITE 207",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023831",
            "telephone_number": "512-507-6342",
            "fax_number": "512-531-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISCHCA T. SCALES, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "SCALES",
        "authorized_official_first_name": "MISCHCA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-507-6342",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161254101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86843A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "600663363",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.