Organization Active NPI

Kiddo Psychiatry LLC

  • Child & Adolescent Psychiatry Physician
  • Austin, TX
National Provider Identifier
1619722444
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
KIDDO PSYCHIATRY LLC
Practice address
12591 Research Blvd
Austin, TX 78759-2248
Phone
(512) 348-4322
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Azka BilalNPI 1881003077
Title
Owner
Phone
(512) 348-4322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

12591 Research Blvd
Austin, TX 78759-2248

Mailing address

11900 Jollyville Rd # 201392
Austin, TX 78759-2304
Phone (512) 348-4322

National Provider Directory

National Provider Directory

Locations

12591 Research Blvd
Austin, TX 78759
Phone (512) 348-4322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1619722444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 JOLLYVILLE RD # 201392",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592304",
            "telephone_number": "512-348-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12591 RESEARCH BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592248",
            "telephone_number": "512-348-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDO PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "BILAL",
        "authorized_official_first_name": "AZKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-348-4322"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.