Psicologia Psychology PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSICOLOGIA PSYCHOLOGY PLLC

Practice address

2500 W William Cannon Dr Ste 703
Austin, TX 78745-5252

Phone

(512) 494-4162

Fax

(518) 751-9514

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Ivonne M Ocasio-Reyes, PHD

Title

Owner

Phone

(512) 494-4162

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth D Gonzalez, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1861096216
  NPD
• Albabeth Sarraga Rios, PSY D

  • Psychologist
  • Austin, TX
  • NPI 1033720305
  NPD
• Nydia Yaritza Camacho Ortiz, PH. D.

  • Clinical Psychologist
  • Fort Worth, TX
  • NPI 1265602445
  NPD (past)
• Matthew Luke Ferrara, PH.D.

  • Clinical Psychologist
  • Austin, TX
  • NPI 1225279623
  NPD (past)

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1528618774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR STE 703",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455252",
            "telephone_number": "512-494-4162",
            "fax_number": "518-751-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W WILLIAM CANNON DR STE 703",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455252",
            "telephone_number": "512-494-4162",
            "fax_number": "518-751-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSICOLOGIA PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "OCASIO-REYES",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-494-4162",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Ann Gore Pryor, RN
• Psa Ambulatory Surgical Center of Austin LLC (The Pain Relief SurgiCenter)
• Psa Ambulatory Surgical Center of South Austin, LLC
• Psa Anesthesia PLLC (MedStar Anesthesia)
• Psi Premier Specialties, Inc. (Medical Express Psi)
• Pso LLC
• Psyccreek Behavioral Health Services Professional LLC
• Psych Etcetera LLC
• Psych Intersect Inc. (Psych Intersect)
• Psychiatric Consultants of Fort Worth (Austin Psychiatric Consultants)

• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.