Individual provider Active NPI

Anitha Dayalan, MD

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1902225311
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T7909 Issued in TX
Practice address
7000 N Mopac Expy Ste 210
Austin, TX 78731-3093
Phone
(877) 504-8504
Fax
(855) 420-6402
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T7909 TX Primary

Addresses

Primary practice location

7000 N Mopac Expy Ste 210
Austin, TX 78731-3093

Mailing address

7000 N Mopac Expy Ste 210
Austin, TX 78731-3093
Phone (877) 504-8504

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215002289 TX Practitioner - Psychiatry 4789802679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

3626 Williams Dr
Suite 100
Georgetown, TX 78628-4092
Phone (888) 374-5066

3705 Medical Pkwy
Suite 410
Austin, TX 78705-1023
Phone (888) 374-5066

551 S I-35 Frontage Rd
Suite 200
Round Rock, TX 78664
Phone (888) 374-5066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T7909TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bournewood Clinical Associates Psychiatry CurrentSince Jan 1, 2018 Accepting new patients
Family Care Center LLC, CurrentSince Jan 6, 2024 Accepting new patients
Family Care Center, LLC Psychiatry CurrentSince Jan 6, 2024 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

300 South St
Chestnut Hill, MA 02467
Phone (617) 469-0300

3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1902225311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N MOPAC EXPY STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313093",
            "telephone_number": "877-504-8504",
            "fax_number": "855-420-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 N MOPAC EXPY STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313093",
            "telephone_number": "877-504-8504",
            "fax_number": "855-420-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYALAN",
        "first_name": "ANITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T7909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.