Organization Active NPI

Priscilla E. Sierk, D.O., P.a.

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1194901116
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L3479 Issued in TX
Legal business name
PRISCILLA E. SIERK, D.O., P.A.
Practice address
3355 Bee Cave Rd
Suite 507
Austin, TX 78746-6682
Phone
(512) 870-8180
Fax
(512) 852-6700
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Dr. Priscilla Elaine Sierk, D.O.NPI 1255352324
Title
President
Phone
(512) 870-8180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X L3479 TX Primary

Addresses

Primary practice location

3355 Bee Cave Rd
Suite 507
Austin, TX 78746-6682

Mailing address

3355 Bee Cave Rd
Suite 507
Austin, TX 78746-6682
Phone (512) 870-8180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080902000086 TX Part B Supplier - Clinic/Group Practice 9638245418 Receives reassigned benefits from 1 practitioner
Practice locations: West Lake Hills, TX

National Provider Directory

National Provider Directory

Locations

3355 Bee Caves Rd
Ste 507
West Lake Hills, TX 78746
Phone (512) 865-5412

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1194901116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVE RD",
            "address_2": "SUITE 507",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466682",
            "telephone_number": "512-870-8180",
            "fax_number": "512-852-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVE RD",
            "address_2": "SUITE 507",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466682",
            "telephone_number": "512-870-8180",
            "fax_number": "512-852-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA E. SIERK, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "SIERK",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-870-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L3479",
            "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 Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.