Organization Active NPI

Sharon Bischofshausen PHD PLLC

  • Psychologist
  • Austin, TX
National Provider Identifier
1841558608
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23594 Issued in TX
Legal business name
SHARON BISCHOFSHAUSEN PHD PLLC
Practice address
4131 Spicewood Springs Rd
Ste. K5
Austin, TX 78759-8661
Phone
(512) 342-8689
Fax
(512) 342-0708
NPI assigned
May 1, 2012
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dr. Sharon Kay Bischofshausen, PHD PLLCNPI 1780757674
Title
Psychologist
Phone
(512) 342-8689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23594 TX Primary

Addresses

Primary practice location

4131 Spicewood Springs Rd
Ste. K5
Austin, TX 78759-8661

Mailing address

4131 Spicewood Springs Rd
Ste. K5
Austin, TX 78759-8661
Phone (512) 342-8689

Other identifiers 1

IdentifierTypeStateIssuer
1146698-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120927000056 TX Part B Supplier - Clinic/Group Practice 0042469553 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

4131 Spicewood Springs Rd
Austin, TX 78759
Phone (512) 342-8689

4131 Spicewood Springs Rd
Ste K5
Austin, TX 78759
Phone (512) 342-8689

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1841558608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD",
            "address_2": "STE. K5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598661",
            "telephone_number": "512-342-8689",
            "fax_number": "512-342-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD",
            "address_2": "STE. K5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598661",
            "telephone_number": "512-342-8689",
            "fax_number": "512-342-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON BISCHOFSHAUSEN PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "BISCHOFSHAUSEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-342-8689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD  PLLC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1146698-01",
            "state": "TX"
        }
    ],
    "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 Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.