Reflejo Psych PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

REFLEJO PSYCH PLLC

Practice address

8003 S Interstate Highway 35 Apt. 2517
Austin, TX 78744

Phone

(401) 213-9766

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Stephanie Banuelos

Title

Owner

Phone

(562) 212-3944

Specialties & licenses 3

Addresses

Tax ID family

Reflejo Psych PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Reflejo Psych, PLLC

  • Clinical Psychologist
  • Austin, TX
  • NPI 1528807823
  NPD tax ID

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1528808698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 4293",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "401-213-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 S INTERSTATE HIGHWAY 35 APT. 2517",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78744",
            "telephone_number": "401-213-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLEJO PSYCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BANUELOS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-212-3944"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Reeves, MOT, OTR/L
• Lauren M Reeves
• Mary Azele Reeves
• Mary Lindley Reevy, MSW
• Reflect & Renew Counseling Services, PLLC
• Reflejo Psych, PLLC
• Jennifer Ann Regalado-Ellis, O.D.
• Daniel Regalado
• Colleen E Regan, LPC, NCC
• Danielle Regan, RDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.