Vespers Psychological Services PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

15521 Issued in TX

Legal business name

VESPERS PSYCHOLOGICAL SERVICES PC

Practice address

3000 Joe Dimaggio Blvd
BLDG. 1200, Suite 43C
Round Rock, TX 78665-3922

Phone

(512) 217-6972

Fax

(512) 233-2244

NPI assigned

Oct 6, 2009

Last updated

Oct 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ana Maria Masbad, PHDNPI 1851626071

Title

Founder

Phone

(512) 217-6972

Specialties & licenses 1

Addresses

Locations

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.

• Ana Maria Masbad, PH.D.

  • Clinical Psychologist
  • Round Rock, TX
  • NPI 1851626071
  NPD (past) Authorized official

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1205161429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD",
            "address_2": "BLDG. 1200, SUITE 43C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653922",
            "telephone_number": "512-217-6972",
            "fax_number": "512-233-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD",
            "address_2": "BLDG. 1200, SUITE 43C",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653922",
            "telephone_number": "512-217-6972",
            "fax_number": "512-233-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESPERS PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "MASBAD",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "512-217-6972",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "15521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.