Organization Active NPI

Somatic Regulation & Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
National Provider Identifier
1437904570
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOMATIC REGULATION & PSYCHOLOGICAL SERVICES
Practice address
1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5008
Phone
(318) 451-2137
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Dr. Christina Sanner, PHDNPI 1033373931
Title
Clinical Director
Phone
(318) 451-2137

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5008

Mailing address

725 Whispering Oaks Dr
Salado, TX 76571-4930

Other practice location 1

160 Midway Ctr
Woodway, TX 76712-3637
Phone (318) 451-2137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240612001188 TX Part B Supplier - Clinic/Group Practice 1456893924 Receives reassigned benefits from 1 practitioner
Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Locations

160 Midway Ctr
Woodway, TX 76712
Phone (254) 913-8365

Practitioners & affiliated clinicians

Practitioners 1

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": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1437904570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WHISPERING OAKS DR",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765714930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRAIL RD STE 450",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815008",
            "telephone_number": "318-451-2137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Midway Ctr",
            "address_purpose": "LOCATION",
            "city": "Woodway",
            "state": "TX",
            "postal_code": "767123637",
            "country_code": "US",
            "telephone_number": "318-451-2137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOMATIC REGULATION & PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "SANNER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "318-451-2137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.