Organization Active NPI

Robert P. Austin PH.D. P.C.

Doing business as Austin Associates

  • Group Psychotherapy Psychologist
  • Arlington, MA
National Provider Identifier
1376568857
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
1914 Issued in MA
Legal business name
ROBERT P. AUSTIN PH.D. P.C.
Doing business as
Austin Associates
Practice address
22 Mill St
Suite 105
Arlington, MA 02476-4784
Phone
(781) 646-5726
Fax
(781) 641-4864
NPI assigned
Jul 13, 2006
Last updated
Jul 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Authorized official

Name
Dr. Robert Paul Austin, PH. D.NPI 1275552119
Title
President
Phone
(781) 646-5726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP2701X 1914 MA Primary

Addresses

Primary practice location

22 Mill St
Suite 105
Arlington, MA 02476-4784

Mailing address

22 Mill St
Suite 105
Arlington, MA 02476-4784
Phone (781) 646-5726

Other identifiers 3

IdentifierTypeStateIssuer
722115OtherMATUFTS HEALTH PLAN
183481000OtherMAMAGELLAN BEHAVIORAL HEALT
P10374OtherMABLUE CROSS BLUE SHIELD MA

Other names 1

  • Austin Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000311 MA Part B Supplier - Clinic/Group Practice 4385606136 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, MA

National Provider Directory

National Provider Directory

Locations

22 Mill St
Ste 105
Arlington, MA 02476
Phone (781) 223-3120

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1376568857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 105",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764784",
            "telephone_number": "781-646-5726",
            "fax_number": "781-641-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 105",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764784",
            "telephone_number": "781-646-5726",
            "fax_number": "781-641-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. AUSTIN PH.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-646-5726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MA",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "722115",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "183481000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "P10374",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.