Shirin M Bazaz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33557 Issued in TX

Practice address

913 Saddlebrook Cir
Cedar Park, TX 78613-3444

Phone

(512) 636-1704

NPI assigned

Feb 27, 2007

Last updated

Feb 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Shirin M. Bazaz, LLC

  • Clinical Psychologist
  • Austin, TX
  • NPI 1114251493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1861529943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SADDLEBROOK CIR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133444",
            "telephone_number": "512-636-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 SADDLEBROOK CIR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133444",
            "telephone_number": "512-636-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZAZ",
        "first_name": "SHIRIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabanita Basu, M.D.
• William Batten, D.D.S.
• Greg Bauer, L.A.T., A.T.C.
• Jenny Morales Bauerlein, LCSW
• Ramya Baumgardner, MD
• BC Collins Home
• Beacon Behavioral of Texas PA (Earthman / Cedar Park TMS)
• Christian Lund Beard
• Beau D Blankenship, DDS, PC (Lakeline Mall Family Dental)
• Madeline Beaulne-Ortiz, LCSW

• Clinical Psychologist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.