Individual provider Active NPI

Sue Yeon Roh, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Leander, TX
National Provider Identifier
1619360310
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP126383 Issued in TX
Practice address
2416 Bowen St
Leander, TX 78641-4422
Phone
(602) 960-3627
Fax
(602) 894-0577
NPI assigned
Mar 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP126383 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 337684 AZ

Addresses

Primary practice location

2416 Bowen St
Leander, TX 78641-4422

Mailing address

2416 Bowen St
Leander, TX 78641-4422
Phone (602) 960-3627

Other practice location 1

1705 S Capital Of Texas Hwy Ste 310
Austin, TX 78746-6551
Phone (512) 595-7475

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170608000591 TX Practitioner - Nurse Practitioner 2961770318 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP126383TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Era TMS & Psychiatry of Texas, PA CurrentSince Jun 1, 2022 Accepting new patients
Anew Era TMS & Psychiatry of Texas, PA CurrentSince Jun 1, 2022 Accepting new patients
Frank S Floca MD PLLC CurrentSince Apr 1, 2022 Accepting new patients
New Vision Psychiatry and Wellness PLLC Family Past Accepting new patients

Locations

8140 N Mopac Expy
Ste 150
Austin, TX 78759
Phone (512) 380-9339

8140 N Mopac Expy
Bldg 3
Austin, TX 78759
Phone (512) 343-2292

7005 Mira Loma Ln
Ste 102
Austin, TX 78723
Phone (512) 795-4344

1210 Cottonwood Creek Trl
Ste 230
Cedar Park, TX 78613
Phone (512) 643-6099

17480 Dallas Pkwy
Ste 101
Dallas, TX 75287
Phone (833) 766-5613

Organizations & group practices 4

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": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1619360310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 BOWEN ST",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414422",
            "telephone_number": "602-960-3627",
            "fax_number": "602-894-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 BOWEN ST",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414422",
            "telephone_number": "602-960-3627",
            "fax_number": "602-894-0577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 S Capital Of Texas Hwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787466551",
            "country_code": "US",
            "telephone_number": "512-595-7475",
            "fax_number": "512-532-6343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROH",
        "first_name": "SUE",
        "middle_name": "YEON",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP126383",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "337684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

Verify at the official NPI Registry.