Organization Active NPI

Avazach Psychiatry Services PLLC

  • Psychiatry Physician
  • Round Rock, TX
National Provider Identifier
1659083780
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AVAZACH PSYCHIATRY SERVICES PLLC
Practice address
110 N Interstate 35 Ste 315-982
Round Rock, TX 78681-5003
Phone
(512) 586-3465
Fax
(888) 200-3405
NPI assigned
Dec 20, 2022
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Latoya Nottage-MurphyNPI 1467896415
Title
President
Phone
(972) 282-7333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

110 N Interstate 35 Ste 315-982
Round Rock, TX 78681-5003

Mailing address

110 N Interstate 35 Ste 315-982
Round Rock, TX 78681-5003
Phone (512) 586-3465

National Provider Directory

National Provider Directory

Locations

3000 S Hulen St
Ste 124555
Fort Worth, TX 76109

110 N Interstate 35
Ste 315982
Round Rock, TX 78681
Phone (512) 586-3465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1659083780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N INTERSTATE 35 STE 315-982",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815003",
            "telephone_number": "512-586-3465",
            "fax_number": "888-200-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N INTERSTATE 35 STE 315-982",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815003",
            "telephone_number": "512-586-3465",
            "fax_number": "888-200-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAZACH PSYCHIATRY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "NOTTAGE-MURPHY",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-282-7333"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.