Individual provider Active NPI

Ross Evan Devere, PH.D.

  • Clinical Neuropsychologist
  • Cedar Park, TX
National Provider Identifier
1336359264
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
34236 Issued in TX
Practice address
301 Denali Pass
Ste 4
Cedar Park, TX 78613-2079
Phone
(512) 261-3999
Fax
(512) 261-3991
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34236 TX
Clinical Neuropsychologist 103G00000X 34236 TX Primary

Addresses

Primary practice location

301 Denali Pass
Ste 4
Cedar Park, TX 78613-2079

Mailing address

301 Denali Pass
Ste 4
Cedar Park, TX 78613-2079
Phone (512) 261-3999

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090526000238 TX Practitioner - Clinical Psychologist 1759430648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Denali Pass
Suite 4
Cedar Park, TX 78613-2079
Phone (512) 261-3999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34236TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ross E Devere PHD PLLC Clinical Neuropsychologist CurrentSince May 26, 2009 Accepting new patients

Locations

301 Denali Pass
Ste 4
Cedar Park, TX 78613
Phone (512) 261-3999

1200 Lakeway Dr
Ste 8
Lakeway, TX 78734
Phone (512) 261-7909

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1336359264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DENALI PASS",
            "address_2": "STE 4",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132079",
            "telephone_number": "512-261-3999",
            "fax_number": "512-261-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DENALI PASS",
            "address_2": "STE 4",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132079",
            "telephone_number": "512-261-3999",
            "fax_number": "512-261-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERE",
        "first_name": "ROSS",
        "middle_name": "EVAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34236",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.