Individual provider Active NPI

Neisha Hootman, PHD

  • Psychologist
  • Austin, TX
National Provider Identifier
1831660364
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
31133 Issued in TX
Practice address
5555 N Lamar Blvd Ste E125
Austin, TX 78751-1052
Phone
(512) 992-0574
NPI assigned
Dec 10, 2018
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 31133 TX Primary

Addresses

Primary practice location

5555 N Lamar Blvd Ste E125
Austin, TX 78751-1052

Mailing address

11919 Meadowfire Dr
Austin, TX 78758-3318
Phone (512) 415-6647

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31133TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprouting Branch Psychotherapy Inc CurrentSince Aug 28, 2022 Accepting new patients

Locations

1801 W Koenig Ln
Austin, TX 78756
Phone (512) 553-5382

Organizations & group practices 1

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1831660364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 MEADOWFIRE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583318",
            "telephone_number": "512-415-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD STE E125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511052",
            "telephone_number": "512-992-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOTMAN",
        "first_name": "NEISHA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "31133",
            "primary": true
        }
    ],
    "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 10, 2018; 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.