Active NPI
Correctional Rehabilitation Services
- Psychologist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 22796
- Legal business name
- CORRECTIONAL REHABILITATION SERVICES
- Practice address
- 4833 Spicewood Springs Rd Ste 101
Austin, TX 78759-8436 - Phone
- (512) 708-0502
- Fax
- (512) 708-0557
- NPI assigned
- Nov 17, 2008
- Last updated
- Mar 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Luke Ferrara, PH.D.
- Title
- Psychologist
- Phone
- (512) 708-0502
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 22796 | TX | Primary |
Addresses
Primary practice location
4833 Spicewood Springs Rd Ste 101
Austin, TX 78759-8436
Mailing address
1304 Nueces Street
Austin, TX 78701
Phone (512) 708-0502
National Provider Directory
National Provider DirectoryLocations
1304 Nueces St
Austin, TX 78701
Phone (512) 705-0502
4833 Spicewood Springs Rd
Ste 101
Austin, TX 78759
Phone (512) 708-0502
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Psychologist
- Austin, TX
- NPI 1225279623
-
- Clinical Psychologist
- Fort Worth, TX
- NPI 1265602445
-
- Clinical Psychologist
- Austin, TX
- NPI 1518273739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648598400000",
"number": "1407000508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 NUECES STREET",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78701",
"telephone_number": "512-708-0502",
"fax_number": "512-708-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4833 SPICEWOOD SPRINGS RD STE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598436",
"telephone_number": "512-708-0502",
"fax_number": "512-708-0557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORRECTIONAL REHABILITATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-17",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A",
"authorized_official_last_name": "FERRARA",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "LUKE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "512-708-0502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "TX",
"license": "22796",
"primary": true
}
],
"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 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.