Trauma Recovery Institute PA

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

TRAUMA RECOVERY INSTITUTE PA

Practice address

700 Market St Ste 105
Cedar Park, TX 78613-2684

Phone

(737) 228-0538

Fax

(737) 210-7093

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Kandyce Walker, RNNPI 1770181216

Title

Coo, Director of Nursing

Phone

(512) 669-2272

Specialties & licenses 3

Addresses

Locations

Practitioners 5

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

• Kandyce Walker

  • Psychiatric/Mental Health Registered Nurse
  • Cedar Park, TX
  • NPI 1770181216
  NPD (past) Authorized official
• Linda L Alexander, LPC, LMFT, LCDC

  • Marriage & Family Therapist
  • Richardson, TX
  • NPI 1740397637
  NPD (past)
• Melissa K Caldwell, LPC, ATR

  • Professional Counselor
  • Richardson, TX
  • NPI 1588771406
  NPD (past)
• Dayna L Fuchs, PH.D.

  • Family Psychologist
  • Richardson, TX
  • NPI 1982712691
  NPD (past)
• Jody Leann Miller

  • Professional Counselor
  • West Lake Hills, TX
  • NPI 1639747884
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1801415450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MARKET ST STE 105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132684",
            "telephone_number": "737-228-0538",
            "fax_number": "727-210-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MARKET ST STE 105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132684",
            "telephone_number": "737-228-0538",
            "fax_number": "737-210-7093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Gateway Blvd Ste 359",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750803572",
            "country_code": "US",
            "telephone_number": "214-738-3645",
            "fax_number": "737-210-7093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAUMA RECOVERY INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-01-11",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KANDYCE",
        "authorized_official_title_or_position": "COO, DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "512-669-2272",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Train in Sync LLC
• Elizabeth Tram
• Bichhang Ta Tran, RPH
• Teresa T Tran, DDS, MS
• Transcend Counseling PLLC
• John Travnick, MS, LAT, ATC
• Treat Mental Health Texas LLC
• Anna Isabel Trevino, FNP-C
• Tri County Practice Association
• Tricia Blewitt Counseling & Sex Therapy, PLLC

• Psychiatric Hospital in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.