Organization Active NPI

Austin Psychology & Assessment Center

  • Psychologist
  • Austin, TX
National Provider Identifier
1457561276
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
AUSTIN PSYCHOLOGY & ASSESSMENT CENTER
Practice address
6012 W William Cannon Dr
B-103
Austin, TX 78749-1980
Phone
(512) 891-1500
Fax
(512) 857-7679
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Dr. Mike Brooks, PH.D., L.S.S.P
Title
Director
Phone
(512) 891-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

6012 W William Cannon Dr
B-103
Austin, TX 78749-1980

Mailing address

6012 W William Cannon Dr
B-103
Austin, TX 78749-1980
Phone (512) 891-1500

Other names 1

  • ApaCenter Other name

National Provider Directory

National Provider Directory

Locations

6012 W William Cannon Dr
Ste B103
Austin, TX 78749
Phone (512) 358-9700

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1457561276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 W WILLIAM CANNON DR",
            "address_2": "B-103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491980",
            "telephone_number": "512-891-1500",
            "fax_number": "512-857-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 W WILLIAM CANNON DR",
            "address_2": "B-103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491980",
            "telephone_number": "512-891-1500",
            "fax_number": "512-857-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN PSYCHOLOGY & ASSESSMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-891-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.S.S.P"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ApaCenter",
            "code": "5",
            "type": "Other 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 Jun 24, 2010; 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.