Individual provider Active NPI

Allison Marie Stewart, PSY.D.

  • Psychologist
  • New Braunfels, TX
National Provider Identifier
1467758003
Registry record updated May 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34737 Issued in TX
Practice address
921 Lakeview Blvd
Suite 200
New Braunfels, TX 78130-4135
Phone
(830) 481-9470
NPI assigned
Jan 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34737 TX Primary

Addresses

Primary practice location

921 Lakeview Blvd
Suite 200
New Braunfels, TX 78130-4135

Mailing address

921 Lakeview Blvd
Suite 200
New Braunfels, TX 78130-4135
Phone (830) 481-9470

Other identifiers 1

IdentifierTypeStateIssuer
283029101MedicaidTX

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
I20110808000081 TX Practitioner - Clinical Psychologist 1355510470 Practice locations: New Braunfels, TX; Waco, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1099 N Walnut Ave
Suite a
New Braunfels, TX 78130-5323
Phone (830) 481-9470

652 N Houston Ave
Suite 2
New Braunfels, TX 78130-4123
Phone (830) 481-9470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34737TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jasmine E. Khan Psychologist CurrentSince Aug 17, 2012 Accepting new patients
Inpatient Medicine Physicians PA Past Accepting new patients
Osinb, PA Past Accepting new patients

Locations

2121 W Waco Dr
Waco, TX 76707
Phone (254) 235-6542

Organizations & group practices 3

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": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463875200000",
    "number": "1467758003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LAKEVIEW BLVD",
            "address_2": "SUITE 200",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304135",
            "telephone_number": "830-481-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LAKEVIEW BLVD",
            "address_2": "SUITE 200",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304135",
            "telephone_number": "830-481-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ALLISON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-30",
        "last_updated": "2016-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283029101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.