Active NPI
Susan Reese Austin, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1528777927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1099007
- Practice address
- 816 Newell Ave
Dallas, TX 75223-1162 - Phone
- (214) 831-0588
- Fax
- (214) 831-3130
- NPI assigned
- Nov 15, 2022
- Last updated
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1099007 | TX | Primary |
Addresses
Primary practice location
816 Newell Ave
Dallas, TX 75223-1162
Mailing address
816 Newell Ave
Dallas, TX 75223-1162
Phone (504) 782-9985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099007 | Other | TX | TEXAS BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1099007 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Meier Day Program, Inc. | Past | Accepting new patients | |
| Restoration Psychiatry 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Richardson, TX
- NPI 1164227948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1528777927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 NEWELL AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752231162",
"telephone_number": "504-782-9985",
"fax_number": "214-831-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 NEWELL AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752231162",
"telephone_number": "214-831-0588",
"fax_number": "214-831-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "SUSAN",
"middle_name": "REESE",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1099007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING",
"identifier": "1099007",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.