NPIMap

Organization Active NPI

Gramercy Specialty Clinic PLLC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1922419324
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRAMERCY SPECIALTY CLINIC PLLC
Practice address
4009 Banister LN Ste 355
Austin, TX 78704-7040
Phone
(512) 777-2686
NPI assigned
May 20, 2014
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Elizabeth AlegriaNPI 1740569540
Title
Executive Director
Phone
(512) 777-2686

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

4009 Banister LN Ste 355
Austin, TX 78704-7040

Mailing address

4009 Banister LN Ste 355
Austin, TX 78704-7040
Phone (512) 777-2686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150511001716 TX Part B Supplier - Clinic/Group Practice 6709105901 Receives reassigned benefits from 9 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory
Tax ID family
Gramercy Specialty Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2211 S Interstate 35
Ste 103
Austin, TX 78741
Phone (512) 766-3627

2312 Western Trails Blvd
Ste D402
Austin, TX 78745
Phone (512) 777-2686

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1922419324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BANISTER LN STE 355",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047040",
            "telephone_number": "512-777-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BANISTER LN STE 355",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047040",
            "telephone_number": "512-777-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY SPECIALTY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "ALEGRIA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-777-2686"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.