Active NPI
Elizabeth Minne
- Psychologist
- Austin, TX
National Provider Identifier
1285959015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34166
- Practice address
- 5601 Manchaca Rd
Austin, TX 78745 - Phone
- (512) 960-4533
- Fax
- (512) 887-3970
- NPI assigned
- Apr 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 34166 | TX | Primary |
Addresses
Primary practice location
5601 Manchaca Rd
Austin, TX 78745
Mailing address
1221 W Ben White Blvd Ste 210a
Austin, TX 78704-7182
Phone (512) 960-4533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
825 Watters Creek Blvd
Suite 250
Allen, TX 75013-3770
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Total Life FL PA | Current | Accepting new patients | |
| Tri-County Clinical | Past | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
825 Watters Creek Blvd
Ste 250
Allen, TX 75013
Phone (833) 231-4673
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Luling, TX
- NPI 1336456227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1285959015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 W BEN WHITE BLVD STE 210A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047182",
"telephone_number": "512-960-4533",
"fax_number": "512-887-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 MANCHACA RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78745",
"telephone_number": "512-960-4533",
"fax_number": "512-887-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNE",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "34166",
"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 Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.