Integrity Psychology of Austin PLLC

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

35130 Issued in TX

Legal business name

INTEGRITY PSYCHOLOGY OF AUSTIN PLLC

Practice address

1460 E Whitestone Blvd Ste 260
Cedar Park, TX 78613-2284

Phone

(512) 309-5555

NPI assigned

Jun 20, 2017

Organization subpart

No

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

Authorized official

Name

Paul S Wachowiak, PHDNPI 1164755484

Title

Owner, Psychologist

Phone

(305) 978-3670

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Paul S Wachowiak, PH.D.

  • Health Psychologist
  • Charleston, SC
  • NPI 1164755484

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1639699754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307B N CUERNAVACA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787332637",
            "telephone_number": "305-978-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 E WHITESTONE BLVD STE 260",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132284",
            "telephone_number": "512-309-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5524 Bee Caves Rd Ste G2",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465246",
            "country_code": "US",
            "telephone_number": "512-309-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRITY PSYCHOLOGY OF AUSTIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WACHOWIAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-978-3670",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": "TX",
            "license": "35130",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "35130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Ismail
• Michael Jordain Jackson, LPC-A
• Steven Anthony Jaeckle, PA-C
• Mohammad Jahadi, D.C.
• Pooneh Jahadi, PH.D.

• Health Psychologist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Health Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.