Individual provider Active NPI

Rachel Elizabeth Mis, PHD

  • Clinical Neuropsychologist
  • Austin, TX
National Provider Identifier
1891571055
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
40552 Issued in TX
Practice address
1601 Trinity St
Austin, TX 78712-1765
Phone
(833) 882-2737
Fax
(512) 495-5680
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 40552 TX Primary

Addresses

Primary practice location

1601 Trinity St
Austin, TX 78712-1765

Mailing address

1601 Trinity St Stop Z0200
Austin, TX 78712-1850
Phone (833) 882-2737

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251130000059 TX Practitioner - Clinical Psychologist 1456844364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Texas at AustinGroup PAC ID 2668559436, 154 clinicians

Practice addresses (Care Compare)

1601 Trinity St
Austin, TX 78712-1765
Phone (833) 882-2737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
40552TXMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School CurrentSince Oct 21, 2025 Accepting new patients
University of Texas at Austin Dell Medical School Current Accepting new patients
The University of Texas at Austin CurrentSince Oct 21, 2025 Accepting new patients

Locations

1601 Trinity St
Stop A
Austin, TX 78712
Phone (512) 232-7347

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1601 Trinity St
Stop Z0200
Austin, TX 78712
Phone (512) 495-5300

Interoperability endpoints

  • Direct secure messaging: rachel.mis.1@16041.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1891571055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST STOP Z0200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121850",
            "telephone_number": "833-882-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TRINITY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121765",
            "telephone_number": "833-882-2737",
            "fax_number": "512-495-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIS",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "40552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.