Active NPI
Pulverman Psychological Services, PLLC
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1629553953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- PULVERMAN PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 3160 Bee Caves Rd Ste 300
Austin, TX 78746-5591 - Phone
- (917) 208-0821
- Fax
- (888) 434-3634
- NPI assigned
- Oct 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carey Shayne Pulverman, PHD
- Title
- Manager
- Phone
- (917) 208-0821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3160 Bee Caves Rd Ste 300
Austin, TX 78746-5591
Mailing address
3160 Bee Caves Rd Ste 300
Austin, TX 78746-5591
Phone (917) 208-0821
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538438400000",
"number": "1629553953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 BEE CAVES RD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465591",
"telephone_number": "917-208-0821",
"fax_number": "888-434-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 BEE CAVES RD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465591",
"telephone_number": "917-208-0821",
"fax_number": "888-434-3634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULVERMAN PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A",
"authorized_official_last_name": "PULVERMAN",
"authorized_official_first_name": "CAREY",
"authorized_official_middle_name": "SHAYNE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-208-0821",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"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 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.