Individual provider Active NPI

Asha K Unni, PH.D., L.P.

  • Clinical Child & Adolescent Psychologist
  • West Lake Hills, TX
National Provider Identifier
1386293900
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
925 S Capital of Texas Hwy Ste B125
West Lake Hills, TX 78746-4818
Phone
(512) 766-8781
NPI assigned
Sep 6, 2019
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X NU Primary
School Psychologist 103TS0200X NU

Addresses

Primary practice location

925 S Capital of Texas Hwy Ste B125
West Lake Hills, TX 78746-4818

Mailing address

1200 Locust St
Eldorado, IL 62930-1723

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
I20251205001960 TX Order and Referring Only - Clinical Psychologist 3577056787

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reeves Psychological Services CurrentSince Feb 26, 2023 Accepting new patients
Stress & Trauma Treatment Center, Inc. CurrentSince May 25, 2021 Accepting new patients

Locations

1200 Locust St
Eldorado, IL 62930
Phone (618) 252-9036

925 S Capital of Texas Hwy
Ste B125
West Lake Hills, TX 78746
Phone (512) 766-8171

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1386293900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LOCUST ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S CAPITAL OF TEXAS HWY STE B125",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787464818",
            "telephone_number": "512-766-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNNI",
        "first_name": "ASHA",
        "middle_name": "K",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.