Swapnila S Das, PHD

Individual provider Active NPI Clinical Psychologist · Georgetown, TX

NPI 1497866057 · NPPES record last updated Feb 2, 2019

Key facts

NPI
1497866057
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
37454 (TX)
Practice address
608 Garner Park Dr
Georgetown, TX 78628
Phone
(479) 640-4299
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Your Psychologist PLLC Current Accepting new patients
Dayspring Services of Arkansas L.L.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5762/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 37454 TX Yes

Addresses

Primary practice location

608 Garner Park Dr
Georgetown, TX 78628

Mailing address

608 Garner Park Dr
Georgetown, TX 78628-7232
Phone (479) 631-6429

Other identifiers

IdentifierTypeStateIssuer
159054719MedicaidAR
5X309OtherARBCBS

Other providers in Georgetown, TX

All providers in Georgetown, TX · Clinical Psychologist in Texas

Sources for this page

Verify at the official NPI Registry.