Individual provider Active NPI

Danielle Elana Rott, M.D.

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1720281561
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T8333 Issued in TX
Practice address
1515 S Capital of Texas Hwy Ste 300
Austin, TX 78746-6544
Phone
(844) 824-8775
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T8333 TX Primary
Psychiatry Physician 2084P0800X 135073 CA

Addresses

Primary practice location

1515 S Capital of Texas Hwy Ste 300
Austin, TX 78746-6544

Mailing address

100 Dean Keeton St.
Austin, TX 78712
Phone (512) 471-3515

Other practice location 1

100 W Dean Keeton St Fl Tx5
Austin, TX 78712-1091
Phone (512) 471-0898

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230403001696 TX Practitioner - Psychiatry 3173998283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

1515 S Capital of Texas Hwy
Suite 300
Austin, TX 78746-6544
Phone (844) 824-8775

3000 Polar LN
Suite 101
Cedar Park, TX 78613-3065
Phone (844) 824-8775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135073CAMDPsychiatry Physician
T8333TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Psychiatry CurrentSince Mar 21, 2023 Accepting new patients

Locations

1515 S Capital of Texas Hwy
Ste 300
Austin, TX 78746
Phone (512) 736-6743

3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.daniellerott@136732.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1720281561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEAN KEETON ST.",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78712",
            "telephone_number": "512-471-3515",
            "fax_number": "512-471-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CAPITAL OF TEXAS HWY STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466544",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Dean Keeton St Fl Tx5",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787121091",
            "country_code": "US",
            "telephone_number": "512-471-0898",
            "fax_number": "512-471-0898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTT",
        "first_name": "DANIELLE",
        "middle_name": "ELANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T8333",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "135073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.