NPIMap

Organization Active NPI

Ruby Shoes Psychiatry PLLC

Doing business as Bluebird Psychiatry

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1386206472
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RUBY SHOES PSYCHIATRY PLLC
Doing business as
Bluebird Psychiatry
Practice address
510 Hearn St Ste 100
Austin, TX 78703-4516
Phone
(512) 521-0868
Fax
(512) 521-0868
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Dr. Samantha Symons, MDNPI 1669505566
Title
Director
Phone
(512) 585-1217

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

510 Hearn St Ste 100
Austin, TX 78703-4516

Mailing address

510 Hearn St Ste 100
Austin, TX 78703-4516
Phone (512) 521-0868

Other names 1

  • Bluebird Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

1600 W 38th St
Ste 418
Austin, TX 78731
Phone (512) 467-8596

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1386206472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HEARN ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034516",
            "telephone_number": "512-521-0868",
            "fax_number": "512-521-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HEARN ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034516",
            "telephone_number": "512-521-0868",
            "fax_number": "512-521-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY SHOES PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "SYMONS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-585-1217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluebird Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 16, 2019; 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.