Individual provider Active NPI

Latham Henry Leeds Fink, M.D., PH.D.

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1487002994
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S0877 Issued in TX
Practice address
2703 Sol Wilson Ave
Austin, TX 78702-2556
Phone
(512) 861-2907
Fax
(512) 861-2908
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X S0877 TX Primary

Addresses

Primary practice location

2703 Sol Wilson Ave
Austin, TX 78702-2556

Mailing address

2703 Sol Wilson Ave
Austin, TX 78702-2556
Phone (512) 861-2907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 17, 2025 through Jul 17, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Latham Fink, M.D., PH.D., PLLC Current Accepting new patients
Burke Center PastSince Sep 1, 2020 Accepting new patients

Locations

1801 E 51st St
Ste 365
Austin, TX 78723
Phone (512) 717-9961

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

2703 Sol Wilson Ave
Austin, TX 78702
Phone (512) 650-8179

Organizations & group practices 2

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1487002994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 SOL WILSON AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022556",
            "telephone_number": "512-861-2907",
            "fax_number": "512-861-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 SOL WILSON AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022556",
            "telephone_number": "512-861-2907",
            "fax_number": "512-861-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "LATHAM",
        "middle_name": "HENRY LEEDS",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S0877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.