NPIMap

Organization Active NPI

Kirby Sandlin

  • Adolescent and Children Mental Health Clinic/Center
  • Austin, TX
National Provider Identifier
1376936658
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
66357 Issued in TX
Legal business name
KIRBY SANDLIN
Practice address
1219 S Lamar Blvd Apt 619
Austin, TX 78704-2183
Phone
(337) 654-6634
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Kirby Sandlin, LPC, LMFT
Title
Owner
Phone
(337) 654-6634

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 66357 TX Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 201550 TX

Addresses

Primary practice location

1219 S Lamar Blvd Apt 619
Austin, TX 78704-2183

Mailing address

1219 S Lamar Blvd Apt 619
Austin, TX 78704-2183
Phone (337) 654-6634

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1376936658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 S LAMAR BLVD APT 619",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042183",
            "telephone_number": "337-654-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S LAMAR BLVD APT 619",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042183",
            "telephone_number": "337-654-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY SANDLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "SANDLIN",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-654-6634",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "66357",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "201550",
            "primary": false
        }
    ],
    "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 Mar 11, 2015; 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.