Active NPI
Catherine Larson, MD
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1215215272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- Q0096
- Practice address
- 2525 Wallingwood Dr Ste 800
Austin, TX 78746 - Phone
- (512) 806-0810
- Fax
- (512) 806-0819
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Q0096 | TX | Primary |
Addresses
Primary practice location
2525 Wallingwood Dr Ste 800
Austin, TX 78746
Mailing address
2525 Wallingwood Dr Ste 800
Austin, TX 78746-6930
Phone (512) 806-0810
Other practice location 1
3501 Mills Ave
Austin, TX 78731-6309
Phone (512) 324-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP10039545 | Other | TX | TEXAS MEDICAL BOARD PERMIT |
Other names 1
- Catherine Cody
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 20, 2019 through Mar 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q0096 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1215215272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR STE 800",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466930",
"telephone_number": "512-806-0810",
"fax_number": "512-806-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR STE 800",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-806-0810",
"fax_number": "512-806-0819"
}
],
"practiceLocations": [
{
"address_1": "3501 Mills Ave",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787316309",
"country_code": "US",
"telephone_number": "512-324-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "CATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "Q0096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD PERMIT",
"identifier": "BP10039545",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "CODY",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}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 Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.