Active NPI
Marilyn Jean Vache, MD
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1851314157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- F3366
- Practice address
- 3724 Jefferson St
Ste 206
Austin, TX 78731-6225 - Phone
- (512) 458-1000
- Fax
- (512) 458-1002
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | F3366 | TX | Primary |
| Psychiatry Physician | 2084P0800X | 23152 | AZ | |
| Psychiatry Physician | 2084P0800X | C39289 | CA |
Addresses
Primary practice location
3724 Jefferson St
Ste 206
Austin, TX 78731-6225
Mailing address
3724 Jefferson St
Ste 206
Austin, TX 78731
Phone (512) 458-1000
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C39289 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank S. Floca | Psychiatry | Past | Accepting new patients |
| Austin Diagnostic Clinic, PA | Past | Accepting new patients |
Interoperability endpoints
- marilynjean.vache@xdr.hhchealthdirect.org
- marilyn.vache.1@18773.direct.athenahealth.com
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.
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
-
- Geriatric Psychiatry Physician
- Austin, TX
- NPI 1184665648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1851314157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST",
"address_2": "STE 206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-458-1000",
"fax_number": "512-458-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST",
"address_2": "STE 206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316225",
"telephone_number": "512-458-1000",
"fax_number": "512-458-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACHE",
"first_name": "MARILYN",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "F3366",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "23152",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C39289",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Timothy Patrick Vachris, MD
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- Dorothy D. Vacula, D.C.
- Litty R Vadakkan, RN FNP-C
- David Vadala
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.