Individual provider Active NPI

Jennifer Paz, LSSP

  • School Psychologist
  • Austin, TX
National Provider Identifier
1720753841
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
71037 Issued in TX
Practice address
15009 Nuttall Dr
Austin, TX 78724-6391
Phone
(512) 716-9666
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 71037 TX Primary

Addresses

Primary practice location

15009 Nuttall Dr
Austin, TX 78724-6391

Mailing address

15009 Nuttall Dr
Austin, TX 78724-6391
Phone (512) 716-9666

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.paz@presencelearning.com Direct PresenceLearning, Inc.

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

LicenseStateTypeSpecialty
71037TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1720753841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15009 NUTTALL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787246391",
            "telephone_number": "512-716-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15009 NUTTALL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787246391",
            "telephone_number": "512-716-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "JENNIFER",
        "credential": "LSSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "71037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.paz@presencelearning.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "PresenceLearning, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15009 Nuttall Dr",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787246391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.