Andrea Bieberich, PH.D., LP, PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

4190 Issued in MN

Legal business name

ANDREA BIEBERICH, PH.D., LP, PLLC

Practice address

5000 Bee Caves Rd
Suite 100
West Lake Hills, TX 78746-5266

Phone

(512) 627-6259

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Andrea Bieberich, PH.D.

Title

Clinical Psychologist

Phone

(512) 627-6259

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392422400000",
    "number": "1245435205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD",
            "address_2": "SUITE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465266",
            "telephone_number": "512-627-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD",
            "address_2": "SUITE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465266",
            "telephone_number": "512-627-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA BIEBERICH, PH.D., LP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2014-02-15",
        "status": "A",
        "authorized_official_last_name": "BIEBERICH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-627-6259",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4190",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "4190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2014; 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.