Active NPI
Melissa Choi, PH.D.
- Clinical Neuropsychologist
- Austin, TX
National Provider Identifier
1821492372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 37109
- Practice address
- 6611 River Place Blvd
Ste 203
Austin, TX 78730-1162 - Phone
- (512) 827-8406
- Fax
- (512) 842-9775
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY 9069 | FL | |
| Adult Development & Aging Psychologist | 103TA0700X | PY 9069 | FL | |
| Clinical Psychologist | 103TC0700X | PY 9069 | FL | |
| Health Psychologist | 103TH0004X | PY 9069 | FL | |
| Clinical Neuropsychologist | 103G00000X | 37109 | TX | Primary |
| Clinical Psychologist | 103TC0700X | 37109 | TX | |
| Health Psychologist | 103TH0004X | 37109 | TX | |
| Adult Development & Aging Psychologist | 103TA0700X | 37109 | TX |
Addresses
Primary practice location
6611 River Place Blvd
Ste 203
Austin, TX 78730-1162
Mailing address
6611 River Place Blvd
Ste 203
Austin, TX 78730-1162
Phone (512) 827-8406
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 |
|---|---|---|---|
| PY 9069 | FL | MD | Clinical Psychologist |
| 37109 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1821492372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 RIVER PLACE BLVD",
"address_2": "STE 203",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301162",
"telephone_number": "512-827-8406",
"fax_number": "512-842-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 RIVER PLACE BLVD",
"address_2": "STE 203",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787301162",
"telephone_number": "512-827-8406",
"fax_number": "512-842-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "MELISSA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-13",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY 9069",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "FL",
"license": "PY 9069",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 9069",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "FL",
"license": "PY 9069",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "37109",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "37109",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "TX",
"license": "37109",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "TX",
"license": "37109",
"primary": false
}
],
"identifiers": [],
"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 Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.