Criscar P.a.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

M9292 Issued in TX

Legal business name

CRISCAR P.A.

Practice address

3215 Steck Ave Ste 205
Austin, TX 78757-7584

Phone

(512) 467-2500

Fax

(512) 467-2502

NPI assigned

Aug 7, 2009

Organization subpart

No

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

Authorized official

Name

Mariela Josefina Fuenmayor, M.D.NPI 1356512578

Title

President

Phone

(512) 467-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariela Josefina Fuenmayor, M.D.

  • Psychiatry Physician
  • Gilroy, CA
  • NPI 1356512578

  Adult Mental Health

  NPD (past) Authorized official
• Sarah Fry, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
  • NPI 1659650935
  NPD (past)
• Robert McFerren, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1225476633
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1902037906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 STECK AVE STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577584",
            "telephone_number": "512-467-2500",
            "fax_number": "512-467-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 STECK AVE STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577584",
            "telephone_number": "512-467-2500",
            "fax_number": "512-467-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISCAR P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "FUENMAYOR",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_middle_name": "JOSEFINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-467-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "M9292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel James Crider, M.D.
• Kylie Dayle Hernandez Crifasi
• Chelsea Crilly, FNP-C
• Laura Beth Crimando, CRNA
• Kylie Sage Crisanti, MD
• Zachary Lynn Crislip, MD
• Miles Lynn Crismon, PHARMD
• Ronald S Cristobal, M.D.
• Annette Crivellaro, LCSW
• Crnnurmsc,LLC

• Adult Mental Health Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.