Organization Active NPI

Westlake Psychological Services, PLLC

  • Clinical Child & Adolescent Psychologist
  • West Lake Hills, TX
National Provider Identifier
1932438405
Registry record updated Dec 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
32520 Issued in TX
Legal business name
WESTLAKE PSYCHOLOGICAL SERVICES, PLLC
Practice address
1301 S Capital of Texas Hwy
Suite C-130
West Lake Hills, TX 78746-6574
Phone
(512) 917-1307
NPI assigned
Dec 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2009

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

Authorized official

Name
Dr. Melissa Michelle Mohlman, PH.D.NPI 1275863177
Title
Owner
Phone
(512) 917-1307

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 32520 TX
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 32520 TX
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 32520 TX Primary
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X 32520 TX
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X 32520 TX

Addresses

Primary practice location

1301 S Capital of Texas Hwy
Suite C-130
West Lake Hills, TX 78746-6574

Mailing address

1921 Kenwood Ave
Austin, TX 78704-3633

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.

NPI Registry JSON

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

{
    "created_epoch": "1260662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260662400000",
    "number": "1932438405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 KENWOOD AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CAPITAL OF TEXAS HWY",
            "address_2": "SUITE C-130",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466574",
            "telephone_number": "512-917-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-13",
        "last_updated": "2009-12-13",
        "status": "A",
        "authorized_official_last_name": "MOHLMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-917-1307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32520",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "32520",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "32520",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "TX",
            "license": "32520",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "TX",
            "license": "32520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.