Active NPI
Andrea Iarussi
- Psychologist
- Cedar Park, TX
National Provider Identifier
1316516958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 15417
- Practice address
- 1001 Cypress Creek Rd
Cedar Park, TX 78613-4466 - Phone
- (512) 351-2522
- NPI assigned
- Jun 18, 2021
- 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 | 15417 | TX | Primary |
Addresses
Primary practice location
1001 Cypress Creek Rd
Cedar Park, TX 78613-4466
Mailing address
141 Lookout Cir
Hutto, TX 78634-5402
Phone (512) 351-2252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15417 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1316516958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 LOOKOUT CIR",
"city": "HUTTO",
"state": "TX",
"postal_code": "786345402",
"telephone_number": "512-351-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CYPRESS CREEK RD",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134466",
"telephone_number": "512-351-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IARUSSI",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "15417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.