Aegis Wellness Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AEGIS WELLNESS CENTER

Practice address

2222 Western Trails Blvd Ste 107
Austin, TX 78745-1601

Phone

(512) 831-7008

NPI assigned

Dec 28, 2019

Last updated

Dec 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rene Javier Gaitan, LCSW-S

Title

Founder & Ceo

Phone

(512) 831-7008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577491200000",
    "number": "1851930598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 WESTERN TRAILS BLVD STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451601",
            "telephone_number": "512-831-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WESTERN TRAILS BLVD STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451601",
            "telephone_number": "512-831-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-28",
        "last_updated": "2019-12-28",
        "certification_date": "2019-12-28",
        "status": "A",
        "authorized_official_last_name": "GAITAN",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "512-831-7008",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aec ER 4 LLC
• Aec Physicians PLLC
• Aeg 1 TX Professional, PLLC
• Aeg Texas Professional PLLC (Eye Tech PA)
• Aeg Texas Professional PLLC (Innovative Eyecare)
• Aeris Medical Group PLLC
• Aerotec LLC
• Aeschbach & Associates Incorporated (Addiction and Psychotherapy Services)
• Crispa Josephine Aeschbach Jachmann, MD
• Heinz Aeschbach, M.D.

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; 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.