Individual provider Active NPI

Marta Eileen Pugh-Westlyn, PH,D.

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1417006586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22938 Issued in TX
Practice address
3103 Bee Cave Rd
Suite 125
Austin, TX 78746-5586
Phone
(512) 327-9884
Fax
(512) 327-3916
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22938 TX Primary

Addresses

Primary practice location

3103 Bee Cave Rd
Suite 125
Austin, TX 78746-5586

Mailing address

400 Hardin Loop
Buda, TX 78610-9796
Phone (512) 295-3796

Other names 1

  • Marta Eileen Pugh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22938TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marta Pugh-Westlyn, PHD, PLLC Clinical Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417006586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HARDIN LOOP",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786109796",
            "telephone_number": "512-295-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BEE CAVE RD",
            "address_2": "SUITE 125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465586",
            "telephone_number": "512-327-9884",
            "fax_number": "512-327-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH-WESTLYN",
        "first_name": "MARTA",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "PH,D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "PUGH",
            "middle_name": "EILEEN",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.