Individual provider Active NPI

Laura A Cardona, PH.D.

  • Psychologist
  • Austin, TX
National Provider Identifier
1205290806
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37089 Issued in TX
Practice address
3407 W Slaughter LN
Suite a
Austin, TX 78748-5714
Phone
(512) 522-5898
NPI assigned
Apr 9, 2016
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37089 TX Primary

Addresses

Primary practice location

3407 W Slaughter LN
Suite a
Austin, TX 78748-5714

Mailing address

2602 Cebo CV
Austin, TX 78745-5202
Phone (940) 453-7950

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
I20160820000090 TX Practitioner - Clinical Psychologist 3072808732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8700 Menchaca Rd
Suite 402
Austin, TX 78748-5375
Phone (512) 975-2665

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integration and Cohesiveness Practice, PLLC. CurrentSince May 23, 2016 Accepting new patients

Locations

3407 W Slaughter Ln
Ste A
Austin, TX 78748
Phone (512) 522-5898

8700 Menchaca Rd
Ste 402
Austin, TX 78748
Phone (512) 291-1192

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": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1205290806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 CEBO CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455202",
            "telephone_number": "940-453-7950",
            "fax_number": "512-717-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 W SLAUGHTER LN",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485714",
            "telephone_number": "512-522-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.