Individual provider Active NPI

Clarissa Shields, PHD

  • Psychologist
  • Austin, TX
National Provider Identifier
1669346045
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
40675 Issued in TX
Practice address
3660 Stoneridge Rd Ste F101
Austin, TX 78746-7759
Phone
(512) 329-8222
NPI assigned
Sep 30, 2025
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 40675 TX Primary

Addresses

Primary practice location

3660 Stoneridge Rd Ste F101
Austin, TX 78746-7759

Mailing address

2302 E Side Dr Apt 24
Austin, TX 78704-5203

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
40675TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Hammel Partners LTD Psychologist CurrentSince Oct 5, 2025 Accepting new patients

Locations

3660 Stoneridge Rd
Ste F101
West Lake Hills, TX 78746
Phone (512) 329-2222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1669346045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 E SIDE DR APT 24",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 STONERIDGE RD STE F101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467759",
            "telephone_number": "512-329-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CLARISSA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "40675",
            "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 10, 2025; 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.