Active NPI
Mischca T. Scales, PHD, PLLC
- Clinical Psychologist
- Bastrop, TX
National Provider Identifier
1194040709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31559
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161254101 | Medicaid | TX | |
| 86843A | Other | TX | BLUE CROSS BLUE SHIELD |
| 600663363 | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.