Organization Active NPI

Elizabeth C Wohl PHD PA

  • Psychologist
  • Round Rock, TX
National Provider Identifier
1770775801
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32619 Issued in TX
Legal business name
ELIZABETH C WOHL PHD PA
Practice address
400 W Main St
Suite 221
Round Rock, TX 78664-5808
Phone
(512) 659-3434
Fax
(512) 341-2508
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Elizabeth C Wohl, PH.D.
Title
President
Phone
(512) 659-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 32619 TX Primary

Addresses

Primary practice location

400 W Main St
Suite 221
Round Rock, TX 78664-5808

Mailing address

400 W Main St
Suite 221
Round Rock, TX 78664-5808
Phone (512) 659-3434

Other identifiers 1

IdentifierTypeStateIssuer
0083NFOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

400 W Main St
Ste 221
Round Rock, TX 78664
Phone (512) 659-3434

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1770775801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "SUITE 221",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645808",
            "telephone_number": "512-659-3434",
            "fax_number": "512-341-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "SUITE 221",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645808",
            "telephone_number": "512-659-3434",
            "fax_number": "512-341-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH C WOHL PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "WOHL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-659-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0083NF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.