Individual provider Active NPI

Andrew Scott Greenstone, PSY.D.

  • Psychologist
  • Austin, TX
National Provider Identifier
1801817200
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
15112 Thatcher Dr
Austin, TX 78717-4629
Phone
(512) 964-9666
NPI assigned
Jul 21, 2006
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32122 TX
Psychologist 103T00000X Primary

Addresses

Primary practice location

15112 Thatcher Dr
Austin, TX 78717-4629

Mailing address

15112 Thatcher Dr
Austin, TX 78717-4629
Phone (512) 964-9666

Other identifiers 1

IdentifierTypeStateIssuer
157123405MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000423 TX Practitioner - Clinical Psychologist 6800887456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rolling Hills Behavioral Health ServicesGroup PAC ID 9739150848, 4 clinicians

Practice addresses (Care Compare)

4011 Williams Dr
Suite 800
Georgetown, TX 78628-2491
Phone (512) 868-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Behavioral Health Services Clinical CurrentSince Apr 8, 2004 Accepting new patients
Deer Oaks Geriatric Services P C Clinical PastSince Jan 23, 2023 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Locations

11211 Taylor Draper Ln
Ste 202
Austin, TX 78759
Phone (512) 343-8850

1500 Cottonwood Creek Trl
Ste 800
Cedar Park, TX 78613
Phone (512) 259-4259

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1801817200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15112 THATCHER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174629",
            "telephone_number": "512-964-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15112 THATCHER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174629",
            "telephone_number": "512-964-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSTONE",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32122",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157123405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.