Active NPI
Neurology Clinic PA
- Neurology Physician
- Austin, TX
National Provider Identifier
1699190876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROLOGY CLINIC PA
- Practice address
- 601 W 17TH St
Austin, TX 78701-1103 - Phone
- (512) 708-9200
- Fax
- (512) 532-6261
- NPI assigned
- Feb 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca M Verellen, MD
- Title
- President
- Phone
- (512) 458-2600
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| Clinical Neurophysiology Physician | 2084N0600X |
Addresses
Primary practice location
601 W 17TH St
Austin, TX 78701-1103
Mailing address
601 W 17TH St
Austin, TX 78701-1103
Phone (512) 708-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
601 W 17th St
Austin, TX 78701
Phone (512) 708-9200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Austin, TX
- NPI 1336329903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393286400000",
"number": "1699190876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 17TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011103",
"telephone_number": "512-708-9200",
"fax_number": "512-532-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 17TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011103",
"telephone_number": "512-708-9200",
"fax_number": "512-532-6261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-25",
"last_updated": "2014-02-25",
"status": "A",
"authorized_official_last_name": "VERELLEN",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-458-2600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Neurodiagnostic Consultants, Inc.
- Neurogen Therapeutics, LLC
- Neuroglee Care PLLC
- Neurolimits Clinic PLLC
- Neurology and Electromyography Clinic
- Neurology Imaging Partners LLC
- Neurology Solutions Consultants, P.a.
- Neuromuscular Diagnostics LLC
- Neuropsychiatric Associates of Austin
- Neuropsychology Clinic, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.