The Austin Psychotherapy Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

65384 Issued in TX

Legal business name

THE AUSTIN PSYCHOTHERAPY CENTER

Practice address

1015 Beecave Woods Dr
208
Austin, TX 78746-6762

Phone

(214) 957-0951

NPI assigned

Dec 9, 2015

Organization subpart

No

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

Authorized official

Name

Jeremy H Ezell, LPC-S

Title

Owner

Phone

(214) 957-0951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1477928844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BEECAVE WOODS DR",
            "address_2": "208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BEECAVE WOODS DR",
            "address_2": "208",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466762",
            "telephone_number": "214-957-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AUSTIN PSYCHOTHERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-957-0951",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "65384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.