Clear Water Psychiatry & Wellness

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

AP1316491368 Issued in TX

Legal business name

CLEAR WATER PSYCHIATRY & WELLNESS

Practice address

1600 W 38TH St Ste 318
Austin, TX 78731

Phone

(512) 203-3588

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Tori Gold

Title

Office Manager

Phone

(512) 203-3588

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryann Rathbone, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1316491368
  Medicare reassignment
• Anne Phillippe

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1356107700
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1740767607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 318",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316406",
            "telephone_number": "512-203-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 318",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-203-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WATER PSYCHIATRY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-203-3588",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "AP1316491368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1316491368",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP122637",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP131368",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1669658506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Mind Collective Psychology Group, PLLC
• Clear Mind Therapy PLLC
• Clear Path Screening Services TX, LLC
• Clear Point Wellness, PLLC
• Clear Vision Optometry, P.C.
• Paul Clear, LMT
• Clearasure LLC
• Cleariclaim Solutions LLC
• Clearly Eyecare, LLC
• Clearview Specialty LLC

• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.