Individual provider Active NPI

Emily Strassner Greenspahn, PH.D.

  • Clinical Neuropsychologist
  • Austin, TX
National Provider Identifier
1700108818
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
33921 Issued in TX
Practice address
1301 Barbara Jordan Blvd Ste 402
Austin, TX 78723-3078
Phone
(512) 628-1910
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33921 TX
Clinical Neuropsychologist 103G00000X 33921 TX Primary

Addresses

Primary practice location

1301 Barbara Jordan Blvd Ste 402
Austin, TX 78723-3078

Mailing address

1301 Barbara Jordan Blvd Ste 402
Austin, TX 78723-3078
Phone (512) 628-1910

Other practice location 1

1600 W 38th St
Suite 212
Austin, TX 78731-6400
Phone (512) 324-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000383 TX Practitioner - Clinical Psychologist 4981875309 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33921TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Feb 15, 2017 Accepting new patients
Tri-County Clinical Current Accepting new patients
Dell Children'S Medical Group CurrentSince Feb 15, 2017 Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1301 Barbara Jordan Blvd
Ste 401
Austin, TX 78723
Phone (512) 628-1810

1600 W 38th St
Ste 212
Austin, TX 78731
Phone (512) 324-3315

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

1301 Barbara Jordan Blvd
Ste 402
Austin, TX 78723
Phone (512) 628-1910

Interoperability endpoints

  • Direct secure messaging: emily.greenspahn.2@8363.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700108818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 402",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078",
            "telephone_number": "512-628-1910",
            "fax_number": "512-628-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 402",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078",
            "telephone_number": "512-628-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W 38th St",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787316400",
            "country_code": "US",
            "telephone_number": "512-324-3315",
            "fax_number": "512-324-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENSPAHN",
        "first_name": "EMILY",
        "middle_name": "STRASSNER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33921",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "33921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.