Organization Active NPI

Your Psychologist PLLC

  • Community/Behavioral Health Agency
  • Austin, TX
National Provider Identifier
1861991242
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUR PSYCHOLOGIST PLLC
Practice address
11615 Angus Rd Ste 108
Austin, TX 78759-4064
Phone
(512) 710-6568
NPI assigned
Feb 12, 2018
Last updated
Feb 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Swapnila S Das, CPNPI 1497866057
Title
President
Phone
(512) 710-6568

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

11615 Angus Rd Ste 108
Austin, TX 78759-4064

Mailing address

11615 Angus Rd Ste 108
Austin, TX 78759-4064
Phone (512) 710-6568

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1861991242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594064",
            "telephone_number": "512-710-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594064",
            "telephone_number": "512-710-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "SWAPNILA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-710-6568",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 12, 2018; 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.