NPIMap

Organization Active NPI

Mindy L Granberry PLLC

  • Multi-Specialty Clinic/Center
  • Spicewood, TX
National Provider Identifier
1851632509
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MINDY L GRANBERRY PLLC
Practice address
20424 Haystack CV
Spicewood, TX 78669-6441
Phone
(512) 261-3584
Fax
(512) 524-3649
NPI assigned
Mar 5, 2013
Last updated
Sep 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Mindy L Granberry, M.A., CCC-SLPNPI 1639317860
Title
Owner/Speech Language Pathologist
Phone
(512) 567-2901

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Speech-Language Pathologist 235Z00000X 19117 TX

Addresses

Primary practice location

20424 Haystack CV
Spicewood, TX 78669-6441

Mailing address

PO Box 90997
Austin, TX 78709-0997
Phone (512) 261-3584

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1851632509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90997",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787090997",
            "telephone_number": "512-261-3584",
            "fax_number": "512-524-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20424 HAYSTACK CV",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696441",
            "telephone_number": "512-261-3584",
            "fax_number": "512-524-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY L GRANBERRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "GRANBERRY",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "512-567-2901",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spicewood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.