Lakeway Psychiatry and Behavioral Health

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

N7864 Issued in TX

Legal business name

LAKEWAY PSYCHIATRY AND BEHAVIORAL HEALTH

Practice address

117 Sebastians Run
Austin, TX 78738-6556

Phone

(512) 567-3390

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ziba Rezaee, M.D.

Title

Psychiatrist

Phone

(512) 567-3390

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1598022972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SEBASTIANS RUN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SEBASTIANS RUN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386556",
            "telephone_number": "512-567-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY PSYCHIATRY AND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "REZAEE",
        "authorized_official_first_name": "ZIBA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "512-567-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "N7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.