Individual provider Active NPI

Christina Lee Verzijl, PHD

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1417639691
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39779 Issued in TX
Practice address
9200 Texas Oaks Dr
Austin, TX 78748-6330
Phone
(210) 394-1351
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 39779 TX Primary

Addresses

Primary practice location

9200 Texas Oaks Dr
Austin, TX 78748-6330

Mailing address

9200 Texas Oaks Dr
Austin, TX 78748-6330
Phone (210) 394-1351

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
I20231116001611 TX Practitioner - Clinical Psychologist 3274980073 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39779TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Clinical CurrentSince Sep 20, 2023 Accepting new patients
Tri-County Clinical Current Accepting new patients

Locations

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

Interoperability endpoints

  • Direct secure messaging: christina.verzijl.1@8363.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1417639691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 TEXAS OAKS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486330",
            "telephone_number": "210-394-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 TEXAS OAKS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486330",
            "telephone_number": "210-394-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZIJL",
        "first_name": "CHRISTINA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.