Austin Psychological Practice, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

37124 Issued in TX

Legal business name

AUSTIN PSYCHOLOGICAL PRACTICE, PLLC

Practice address

5758 Balcones Dr Ste 203
Austin, TX 78731-4274

Phone

(512) 998-9806

Fax

(512) 861-1985

NPI assigned

Oct 27, 2017

Organization subpart

No

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

Authorized official

Name

Jason ShestokNPI 1770778714

Title

Owner

Phone

(512) 998-9806

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Shestok, PSY.D.

  • Psychologist
  • Austin, TX
  • NPI 1770778714
  NPD (past) Authorized official

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1336651579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 GROVER AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 BALCONES DR STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314274",
            "telephone_number": "512-998-9806",
            "fax_number": "512-861-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PSYCHOLOGICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "SHESTOK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-998-9806"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "37124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Psychcare (Michelle Magid)
• Austin Psychiatric Alliance, PLLC
• Austin Psychiatric Clinic, PA
• Austin Psychiatry & Wellness PLLC
• Austin Psychological and Testing Center
• Austin Psychology & Assessment Center
• Austin Psychotherapy & Counseling, PLLC
• Austin PT Limited Partnership
• Austin Pulmonary Consultants PA
• Austin Pulmonary Consultants, PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.