Organization Active NPI

Northwest Psychiatry PA

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1225297344
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NORTHWEST PSYCHIATRY PA
Practice address
11673 Jollyville Road
Ste 202
Austin, TX 78759-4200
Phone
(512) 342-7979
Fax
(512) 637-2596
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Arvinder Pal Singh Walia, MD
Title
Authorized Official
Phone
(512) 342-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

11673 Jollyville Road
Ste 202
Austin, TX 78759-4200

Mailing address

11673 Jollyville Road
Ste 202
Austin, TX 78759-4200
Phone (512) 342-7979

Other names 1

  • Avinder Walia MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051027001108 TX Part B Supplier - Clinic/Group Practice 9436176526 Receives reassigned benefits from 7 practitioners
Practice locations: Austin, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2070513Northwest Psychiatry11673 Jollyville Rd, BLDG B, Suite 202, Austin, TX 78759Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

8140 N Mopac Expy
Bldg Iv
Austin, TX 78759

11673 Jollyville Rd
Ste B202
Austin, TX 78759

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24508/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1225297344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE ROAD",
            "address_2": "STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594200",
            "telephone_number": "512-342-7979",
            "fax_number": "512-637-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 JOLLYVILLE ROAD",
            "address_2": "STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594200",
            "telephone_number": "512-342-7979",
            "fax_number": "512-637-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PSYCHIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "WALIA",
        "authorized_official_first_name": "ARVINDER",
        "authorized_official_middle_name": "PAL SINGH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "512-342-7979",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avinder Walia MD PA",
            "code": "4",
            "type": "Former Legal Business 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 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.