NPIMap

Organization Active NPI

J&J Psychiatric Associates LLP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1477095750
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP121966 Issued in TX
Legal business name
J&J PSYCHIATRIC ASSOCIATES LLP
Practice address
5424 W Highway 290 Ste 108
Austin, TX 78735-8827
Phone
(512) 430-1130
Fax
(512) 677-6806
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Jessica Hernandez, PMHNP
Title
Owner
Phone
(512) 430-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP121966 TX Primary

Addresses

Primary practice location

5424 W Highway 290 Ste 108
Austin, TX 78735-8827

Mailing address

5424 W Highway 290 Ste 108
Austin, TX 78735-8827
Phone (512) 430-1130

Other names 1

  • Greater Austin Psychiatry & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200414000773 TX Part B Supplier - Clinic/Group Practice 1951731090 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

5316 W Highway 290
Ste 340
Austin, TX 78735

Practitioners & affiliated clinicians

Practitioners 9

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": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1477095750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 W HIGHWAY 290 STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358827",
            "telephone_number": "512-430-1130",
            "fax_number": "512-677-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 W HIGHWAY 290 STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358827",
            "telephone_number": "512-430-1130",
            "fax_number": "512-677-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J PSYCHIATRIC ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-430-1130",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP121966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Austin Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greater Austin Psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 13, 2022; 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.