Individual provider Active NPI

Alice Anne Lottes, PH.D.

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1194827360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31930 Issued in TX
Practice address
4201 Marathon Blvd Ste 206
Austin, TX 78756-3409
Phone
(512) 451-3496
Fax
(512) 451-3498
NPI assigned
Sep 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Clinical Psychologist 103TC0700X 31930 TX Primary

Addresses

Primary practice location

4201 Marathon Blvd Ste 206
Austin, TX 78756-3409

Mailing address

4201 Marathon Blvd Ste 206
Austin, TX 78756-3409
Phone (512) 451-3496

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
I20050502001135 TX Practitioner - Clinical Psychologist 8729027404 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5008 Highland CT
Austin, TX 78731-5407
Phone (512) 785-7656

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31930TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Lottes, PH.D. Clinical PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194827360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MARATHON BLVD STE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563409",
            "telephone_number": "512-451-3496",
            "fax_number": "512-451-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MARATHON BLVD STE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563409",
            "telephone_number": "512-451-3496",
            "fax_number": "512-451-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTTES",
        "first_name": "ALICE",
        "middle_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.