Organization Active NPI

Charles Sweet, M.D., M.P.H. Inc.

  • Child & Adolescent Psychiatry Physician
  • Austin, TX
National Provider Identifier
1780918938
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
N1170 Issued in TX
Legal business name
CHARLES SWEET, M.D., M.P.H. INC.
Practice address
3724 Jefferson St
# 207
Austin, TX 78731-6225
Phone
(512) 302-1954
Fax
(512) 302-1829
NPI assigned
Sep 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Charles Sweet, M.D., M.P.H.
Title
C.E.O.
Phone
(512) 302-1954

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X N1170 TX
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X N1170 TX Primary

Addresses

Primary practice location

3724 Jefferson St
# 207
Austin, TX 78731-6225

Mailing address

3724 Jefferson St
# 207
Austin, TX 78731-6225
Phone (512) 302-1954

Other identifiers 1

IdentifierTypeStateIssuer
N1170OtherTXMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1780918938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 JEFFERSON ST",
            "address_2": "# 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316225",
            "telephone_number": "512-302-1954",
            "fax_number": "512-302-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 JEFFERSON ST",
            "address_2": "# 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316225",
            "telephone_number": "512-302-1954",
            "fax_number": "512-302-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES SWEET, M.D., M.P.H. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "512-302-1954",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N1170",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "N1170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N1170",
            "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 Sep 21, 2009; 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.