Organization Active NPI

Spraggins Psychological Services, PLLC

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1679965917
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SPRAGGINS PSYCHOLOGICAL SERVICES, PLLC
Practice address
2222 Western Trails Blvd Ste 202
Austin, TX 78745-1647
Phone
(512) 448-3221
Fax
(512) 448-3218
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Dr. Andrea B Spraggins, PH.DNPI 1487954293
Title
Owner and Chief Clinician
Phone
(512) 448-3221

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2222 Western Trails Blvd Ste 202
Austin, TX 78745-1647

Mailing address

2222 Western Trails Blvd Ste 202
Austin, TX 78745-1647
Phone (512) 448-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122003276 TX Part B Supplier - Clinic/Group Practice 7911432208 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2222 Western Trails Blvd
Ste 202
Austin, TX 78745
Phone (512) 448-3221

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1679965917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WESTERN TRAILS BLVD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451647",
            "telephone_number": "512-448-3221",
            "fax_number": "512-448-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WESTERN TRAILS BLVD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451647",
            "telephone_number": "512-448-3221",
            "fax_number": "512-448-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRAGGINS PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "SPRAGGINS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER AND CHIEF CLINICIAN",
        "authorized_official_telephone_number": "512-448-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Feb 24, 2015; 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.