Individual provider Active NPI

Patrick Clapper

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1639250582
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H7966 Issued in TX
Practice address
4110 Guadalupe St
Attn: Reimbursement Dept.
Austin, TX 78751-4223
Phone
(512) 419-2731
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H7966 TX Primary

Addresses

Primary practice location

4110 Guadalupe St
Attn: Reimbursement Dept.
Austin, TX 78751-4223

Mailing address

4110 Guadalupe St
Attn: Reimbursement Dept.
Austin, TX 78751-4223

Other practice location 1

410 Providence Ln NE
Olympia, WA 98506-6927
Phone (360) 493-4500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pclapper95130@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H7966TXMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: pclapper95130@wm.providencedirect.org

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1639250582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 GUADALUPE ST",
            "address_2": "ATTN: REIMBURSEMENT DEPT.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 GUADALUPE ST",
            "address_2": "ATTN: REIMBURSEMENT DEPT.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514223",
            "telephone_number": "512-419-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Providence Ln NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985066927",
            "country_code": "US",
            "telephone_number": "360-493-4500",
            "fax_number": "360-493-7562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAPPER",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H7966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pclapper95130@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "410 Providence Ln NE",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985066927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 3, 2021; 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.