NPIMap

Organization Active NPI

Stone Creek Psychotherapy and Wellness, Inc.

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1508247669
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06714 Issued in TX
Legal business name
STONE CREEK PSYCHOTHERAPY AND WELLNESS, INC.
Practice address
6500 River Place Blvd BLDG 7
Suites 250
Austin, TX 78730-1119
Phone
(512) 767-3925
NPI assigned
Jun 15, 2015
Organization subpart
Yes
Parent organization
STONE CREEK PSYCHOTHERAPY AND WELLNESS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Dianne Wilson Appolito, LCSW
Title
Director
Phone
(512) 767-3925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 06714 TX Primary

Addresses

Primary practice location

6500 River Place Blvd BLDG 7
Suites 250
Austin, TX 78730-1119

Mailing address

6500 River Place Blvd BLDG 7
Suites 250
Austin, TX 78730-1119
Phone (512) 767-3925

National Provider Directory

National Provider Directory
Tax ID family
Stone Creek Psychotherapy and Wellness Inc4 organizations share this tax ID, including this one
Part of
Stone Creek Psychotherapy and Wellness Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1508247669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 RIVER PLACE BLVD BLDG 7",
            "address_2": "SUITES 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301119",
            "telephone_number": "512-767-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 RIVER PLACE BLVD BLDG 7",
            "address_2": "SUITES 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301119",
            "telephone_number": "512-767-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CREEK PSYCHOTHERAPY AND WELLNESS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONE CREEK PSYCHOTHERAPY AND WELLNESS CENTER",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "APPOLITO",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-767-3925",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "06714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 15, 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.