NPIMap

Organization Active NPI

Redemption Psychiatry and Primary Care PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
National Provider Identifier
1740060326
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REDEMPTION PSYCHIATRY AND PRIMARY CARE PLLC
Practice address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone
(512) 729-5218
Fax
(512) 265-9727
NPI assigned
Oct 2, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Lacey Darlene Lundgren, NPNPI 1689088205
Title
Owner
Phone
(512) 413-5190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (512) 729-5218

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1740060326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "512-729-5218",
            "fax_number": "512-265-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "512-729-5218",
            "fax_number": "512-265-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTION PSYCHIATRY AND PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "LUNDGREN",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-413-5190",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 13, 2023; 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.