Yulia Shtareva
Individual provider Active NPI Psychologist · Rollingwood, TX
NPI 1235008996 · NPPES record last updated Oct 31, 2025
Key facts
- NPI
- 1235008996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 40941 (TX)
- Practice address
- 2720 Bee Caves Rd Ste 105
Rollingwood, TX 78746-5642 - Phone
- (425) 829-5051
- NPI assigned
- Oct 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40941 | TX | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 40941 | TX | Yes |
Addresses
Primary practice location
2720 Bee Caves Rd Ste 105
Rollingwood, TX 78746-5642
Mailing address
600 Guadalupe St Apt 4701
Austin, TX 78701-3379
Phone (425) 829-5051
Other providers in Rollingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.