Individual provider Active NPI

Sandra Cano Cormier, PH.D.

  • Psychologist
  • Austin, TX
National Provider Identifier
1497835185
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
30676 Issued in TX
Practice address
8700 Manchaca Rd
Suite 402
Austin, TX 78748-5371
Phone
(512) 851-6381
Fax
(512) 276-6759
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 30676 TX Primary
Psychologist 103T00000X 917 HI

Addresses

Primary practice location

8700 Manchaca Rd
Suite 402
Austin, TX 78748-5371

Mailing address

8700 Manchaca Rd
Suite 402
Austin, TX 78748-5371
Phone (512) 851-6381

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
I20080826000709 TX Practitioner - Clinical Psychologist 3870668833 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8700 Manchaca Rd
Suite 402
Austin, TX 78748-5375
Phone (512) 291-1192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
917HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Morris Counseling Associates LLP Past Accepting new patients
Integration and Cohesiveness Practice, PLLC. Past Accepting new patients

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1497835185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MANCHACA RD",
            "address_2": "SUITE 402",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485371",
            "telephone_number": "512-851-6381",
            "fax_number": "512-276-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MANCHACA RD",
            "address_2": "SUITE 402",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485371",
            "telephone_number": "512-851-6381",
            "fax_number": "512-276-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "SANDRA",
        "middle_name": "CANO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "30676",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.