Active NPI
Sarah Griesemer
- Psychologist
- Austin, TX
National Provider Identifier
1669846184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34831
- Practice address
- 4425 S Mopac Expy
BLDG 3 Ste 502
Austin, TX 78735 - Phone
- (512) 553-1563
- NPI assigned
- Nov 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 34831 | TX | Primary |
Addresses
Primary practice location
4425 S Mopac Expy
BLDG 3 Ste 502
Austin, TX 78735
Mailing address
4425 S Mopac Expy
BLDG 3 Ste 502
Austin, TX 78735
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34831 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1669846184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 S MOPAC EXPY",
"address_2": "BLDG 3 STE 502",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 S MOPAC EXPY",
"address_2": "BLDG 3 STE 502",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78735",
"telephone_number": "512-553-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIESEMER",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "34831",
"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 Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.