Organization Active NPI

Nicolas Carrasco, PHD., Inc.

  • Psychologist
  • Austin, TX
National Provider Identifier
1215637467
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NICOLAS CARRASCO, PHD., INC.
Practice address
314 E Highland Mall Blvd Ste 252
Austin, TX 78752-3766
Phone
(512) 845-2400
NPI assigned
Mar 7, 2023
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Nicolas Carrasco, PHDNPI 1588703813
Title
Licensed Clinical Psychologist
Phone
(512) 845-7105

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
Psychologist 103T00000X Primary

Addresses

Primary practice location

314 E Highland Mall Blvd Ste 252
Austin, TX 78752-3766

Mailing address

502 Coquina LN
West Lake Hills, TX 78746-4503
Phone (512) 845-2400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1215637467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COQUINA LN",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787464503",
            "telephone_number": "512-845-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E HIGHLAND MALL BLVD STE 252",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523766",
            "telephone_number": "512-845-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS CARRASCO, PHD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-845-7105",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Mar 7, 2023; 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.