Organization Active NPI

Je Geriatric Mental Health Services

  • Psychologist
  • Austin, TX
National Provider Identifier
1225490493
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34024 Issued in TX
Legal business name
JE GERIATRIC MENTAL HEALTH SERVICES
Practice address
2200 Panther TRL
Apt. 303
Austin, TX 78704-6789
Phone
(512) 660-1853
NPI assigned
Mar 25, 2016
Last updated
Mar 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Johanna Eckler
Title
Ceo
Phone
(512) 660-1853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34024 TX Primary

Addresses

Primary practice location

2200 Panther TRL
Apt. 303
Austin, TX 78704-6789

Mailing address

2504 Rae Dell Ave
Austin, TX 78704-4735
Phone (512) 660-1853

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1225490493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RAE DELL AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044735",
            "telephone_number": "512-660-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PANTHER TRL",
            "address_2": "APT. 303",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046789",
            "telephone_number": "512-660-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JE GERIATRIC MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "ECKLER",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-660-1853"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34024",
            "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 25, 2016; 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.