NPIMap

Organization Active NPI

Staats Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1932672649
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
STAATS PSYCHIATRIC SERVICES PLLC
Practice address
12151 W Parmer LN Ste 202
Cedar Park, TX 78613-2171
Phone
(512) 593-7070
NPI assigned
Jan 4, 2019
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Annmarie Staats, PMHNPNPI 1902309412
Title
Owner
Phone
(512) 888-5918

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12151 W Parmer LN Ste 202
Cedar Park, TX 78613-2171

Mailing address

12151 W Parmer LN Ste 202
Cedar Park, TX 78613-2171
Phone (512) 593-7070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190221000412 TX Part B Supplier - Clinic/Group Practice 8921346792 Receives reassigned benefits from 11 practitioners
Practice locations: Cedar Park, TX; Liberty Hill, TX

National Provider Directory

National Provider Directory

Locations

12001 W Parmer Ln
Ste 203B
Cedar Park, TX 78613
Phone (512) 593-7070

14001 W State Highway 29
Ste 105
Liberty Hill, TX 78642
Phone (512) 593-7070

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1932672649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12151 W PARMER LN STE 202",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132171",
            "telephone_number": "512-593-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 W PARMER LN STE 202",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132171",
            "telephone_number": "512-593-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAATS PSYCHIATRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "STAATS",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-888-5918",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.