Individual provider Active NPI

Doreen Robyn Landrum, PHD

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1598871121
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31351 Issued in TX
Practice address
1500 W 38TH St
Suite 53
Austin, TX 78731-6321
Phone
(512) 377-2500
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31351 TX Primary

Addresses

Primary practice location

1500 W 38TH St
Suite 53
Austin, TX 78731-6321

Mailing address

1500 W 38TH St
Suite 53
Austin, TX 78731-6321
Phone (512) 377-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204003791 TX Practitioner - Clinical Psychologist 6204329964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Texas at Austin Dell Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Center for Therapy and AssessmentGroup PAC ID 0648588061, 8 clinicians

Practice addresses (Care Compare)

5920 W William Cannon Dr
Austin, TX 78749-1909
Phone (512) 282-2282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31351TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Center for Therapy and Assessment CurrentSince Oct 22, 2025 Accepting new patients
Prime Psychiatry PA PastSince Jul 6, 2015 Accepting new patients
Psychiatric Consultants of Fort Worth Clinical PastSince Jun 16, 2024 Accepting new patients

Locations

5920 W William Cannon Dr
Bldg 6-222
Austin, TX 78749
Phone (512) 282-2282

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598871121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W 38TH ST",
            "address_2": "SUITE 53",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316321",
            "telephone_number": "512-377-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 38TH ST",
            "address_2": "SUITE 53",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316321",
            "telephone_number": "512-377-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "DOREEN",
        "middle_name": "ROBYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.