Jillian M. Racine, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37220 Issued in TX

Practice address

4505 Spicewood Springs Rd Ste 335
Austin, TX 78759-8541

Phone

(512) 467-1376

Fax

(512) 467-8658

NPI assigned

Jun 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Dr. Jillian Racine

  • Clinical Psychologist
  • Austin, TX
  • NPI 1558861583
  NPD
• Dr. Jillian Racine PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1386119972
  NPD
• Matthew W Turner PHD Inc

  • Clinical Psychologist
  • Austin, TX
  • NPI 1033306048
  NPD

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1730561689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SPICEWOOD SPRINGS RD STE 335",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598541",
            "telephone_number": "512-467-1376",
            "fax_number": "512-467-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 SPICEWOOD SPRINGS RD STE 335",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598541",
            "telephone_number": "512-467-1376",
            "fax_number": "512-467-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACINE",
        "first_name": "JILLIAN",
        "middle_name": "M.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Patterson, PLLC
• Rachel Smith Woodard PC
• Joseph Leroy Rachel Jr., PH.D.
• Edward Macleod Racht, M.D.
• Elizabeth Nudd Racine, MSN, APRN, FNP-C
• Lindsay Racino, MA, LPC, RPT
• Mariana Racovita, PA-C
• Gabrielle Racz, LPC
• Rad Cosmetic and Implant Dentistry PLLC
• Afsaneh Andrea Rad, D.M.D., M.SC, M.M.SC

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.