Individual provider Active NPI

Alexandra Leigh Clark, PHD

  • Clinical Neuropsychologist
  • Austin, TX
National Provider Identifier
1831755537
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
39726 Issued in TX
Practice address
711 W 38TH St Ste F2
Austin, TX 78705-1133
Phone
(512) 637-5841
Fax
(512) 637-5997
NPI assigned
May 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 39726 TX Primary

Addresses

Primary practice location

711 W 38TH St Ste F2
Austin, TX 78705-1133

Mailing address

711 W 38TH St Ste F2
Austin, TX 78705-1133
Phone (512) 637-5841

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
I20230829002849 TX Practitioner - Clinical Psychologist 5799148433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of California, San Diego School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atx Neuropsychology PLLCGroup PAC ID 7618074766, 3 clinicians

Practice addresses (Care Compare)

711 W 38TH St
Suite F2
Austin, TX 78705-1133
Phone (512) 637-5841

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39726TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Atx Neuropsychology PLLC Clinical Neuropsychologist CurrentSince Aug 9, 2023 Accepting new patients
Hudson Werner Horn Karnik Douglas Hummer PA Past Accepting new patients

Locations

711 W 38th St
Ste F2
Austin, TX 78705
Phone (512) 232-4626

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1831755537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE F2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051133",
            "telephone_number": "512-637-5841",
            "fax_number": "512-637-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE F2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051133",
            "telephone_number": "512-637-5841",
            "fax_number": "512-637-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALEXANDRA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "39726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.