Active NPI
David Allen Coffman, PH.D
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1336147495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20980
- Practice address
- 1215 Red River St
Austin, TX 78701-1921 - Phone
- (512) 479-3542
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20980 | TX | Primary |
Addresses
Primary practice location
1215 Red River St
Austin, TX 78701-1921
Mailing address
4209 Shoal Creek Blvd
Austin, TX 78756-3518
Phone (512) 371-9632
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336147495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 SHOAL CREEK BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563518",
"telephone_number": "512-371-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 RED RIVER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011921",
"telephone_number": "512-479-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "20980",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.