Active NPI
Stephen William Englander, PHD
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1770538571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22683
- Practice address
- 607 Rathervue PL
Austin, TX 78705-3127 - Phone
- (512) 469-9447
- Fax
- (512) 451-9694
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 22683 | TX | Primary |
Addresses
Primary practice location
607 Rathervue PL
Austin, TX 78705-3127
Mailing address
2308 Westrock Dr
Austin, TX 78704-5819
Phone (512) 373-8247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179935502 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6132 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1770538571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 WESTROCK DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045819",
"telephone_number": "512-373-8247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 RATHERVUE PL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053127",
"telephone_number": "512-469-9447",
"fax_number": "512-451-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLANDER",
"first_name": "STEPHEN",
"middle_name": "WILLIAM",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "22683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179935502",
"state": "TX"
}
],
"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 Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.