Individual provider Active NPI

Hani Talebi, PH.D.

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1295813715
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34137 Issued in TX
Practice address
1015 Beecave Woods Dr
Suite 207E
Austin, TX 78746-6762
Phone
(512) 328-3900
Fax
(512) 328-3902
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34137 TX Primary
School Psychologist 103TS0200X 34463 TX

Addresses

Primary practice location

1015 Beecave Woods Dr
Suite 207E
Austin, TX 78746-6762

Mailing address

1015 Beecave Woods Dr
Suite 207E
Austin, TX 78746-6762
Phone (512) 328-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34463TXMDSchool Psychologist
34137TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Clinical Past Accepting new patients
Ridgeview Enterprises Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1295813715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BEECAVE WOODS DR",
            "address_2": "SUITE 207E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466762",
            "telephone_number": "512-328-3900",
            "fax_number": "512-328-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BEECAVE WOODS DR",
            "address_2": "SUITE 207E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466762",
            "telephone_number": "512-328-3900",
            "fax_number": "512-328-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALEBI",
        "first_name": "HANI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34137",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "34463",
            "primary": false
        }
    ],
    "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 Jul 9, 2012; 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.