Active NPI
David Russell Clemons, PSY.D.
- Counseling Psychologist
- Austin, TX
National Provider Identifier
1841207404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 30534
- Practice address
- 4131 Spicewood Springs Rd Ste E1
Austin, TX 78759-8658 - Phone
- (512) 825-3283
- Fax
- (512) 640-4337
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 30534 | TX | |
| Family Psychologist | 103TF0000X | 30534 | TX | |
| Counseling Psychologist | 103TC1900X | 30534 | TX | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 30534 | TX |
Addresses
Primary practice location
4131 Spicewood Springs Rd Ste E1
Austin, TX 78759-8658
Mailing address
4131 Spicewood Springs Rd Ste E1
Austin, TX 78759-8658
Phone (512) 825-3283
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30534 | TX | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Consultants | Psychologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychologist
- Austin, TX
- NPI 1245275155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1841207404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE E1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598658",
"telephone_number": "512-825-3283",
"fax_number": "512-640-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE E1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598658",
"telephone_number": "512-825-3283",
"fax_number": "512-640-4337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "DAVID",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "30534",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "TX",
"license": "30534",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "30534",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "30534",
"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 Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.