Jack Tsan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35206 Issued in TX

Practice address

8701 Shoal Creek Blvd Ste 404
Austin, TX 78757-6809

Phone

(512) 879-1836

NPI assigned

Feb 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Anxiety Treatment Center of Austin, PLLD

  • Psychologist
  • Austin, TX
  • NPI 1467830703
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538179200000",
    "number": "1639441850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 BULL CREEK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787315506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 SHOAL CREEK BLVD STE 404",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576809",
            "telephone_number": "512-879-1836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Memorial Dr",
            "address_2": "151C",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767111329",
            "country_code": "US",
            "telephone_number": "254-297-3000 x55606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSAN",
        "first_name": "JACK",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-03",
        "last_updated": "2018-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "35206",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "35206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Tsai, M.D.
• Meng-Hsuan Tsai
• Noreen Tsai, M.S. CCC-SLP
• Rita Tsai, MD
• Yung Ling Tsai, DPT
• April Renee Tsang Bonds, LCSW
• Theodora C Tsatsos, DDS
• Arya Tsay-Jones, LPC
• Elaine C Tsay, PT, DPT
• Victoria Tschoepe, M.A.

• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.