Organization Active NPI

Austin Psychiatry & Wellness PLLC

  • Adult Mental Health Clinic/Center
  • Austin, TX
National Provider Identifier
1205204955
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
N7543 Issued in TX
Legal business name
AUSTIN PSYCHIATRY & WELLNESS PLLC
Practice address
1154 Lydia St
Austin, TX 78702
Phone
(512) 766-8650
NPI assigned
Sep 11, 2015
Last updated
Sep 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Victor M Garza, MD
Title
Sole Member
Phone
(512) 766-8650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X N7543 TX Primary

Addresses

Primary practice location

1154 Lydia St
Austin, TX 78702

Mailing address

2407 S Congress Ave
Suite E#405
Austin, TX 78704-5505
Phone (512) 766-8650

National Provider Directory

National Provider Directory

Locations

1154 Lydia St
Austin, TX 78702
Phone (512) 766-8650

2407 S Congress Ave
Ste E405
Austin, TX 78704

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1205204955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 S CONGRESS AVE",
            "address_2": "SUITE E#405",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045505",
            "telephone_number": "512-766-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LYDIA ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702",
            "telephone_number": "512-766-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PSYCHIATRY & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "512-766-8650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "N7543",
            "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 Sep 11, 2015; 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.