NPIMap

Organization Active NPI

Mermaids and Centaurs

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1194900357
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
36198 Issued in TX
Legal business name
MERMAIDS AND CENTAURS
Practice address
605 Copeland St Apt C
Austin, TX 78704-2421
Phone
(512) 771-1313
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Linda Spielman, LCSW
Title
Owner/ Therapist
Phone
(512) 771-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 36198 TX Primary

Addresses

Primary practice location

605 Copeland St Apt C
Austin, TX 78704-2421

Mailing address

605 Copeland St Apt C
Austin, TX 78704-2421
Phone (512) 771-1313

Other identifiers 1

IdentifierTypeStateIssuer
0038NFOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Mermaids and Centaurs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

605 Copeland St
Apt C
Austin, TX 78704
Phone (512) 387-7108

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1194900357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 COPELAND ST APT C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042421",
            "telephone_number": "512-771-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 COPELAND ST APT C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042421",
            "telephone_number": "512-771-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAIDS AND CENTAURS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "SPIELMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "512-771-1313",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0038NF",
            "state": "TX"
        }
    ],
    "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 Jan 7, 2008; 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.