Organization Active NPI

Austin Holistic Psychology

  • Clinical Psychologist
  • Austin, TX
National Provider Identifier
1942009543
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AUSTIN HOLISTIC PSYCHOLOGY
Practice address
4105 Medical Pkwy Ste 202
Austin, TX 78756-3725
Phone
(737) 708-6080
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Madison Perry, PSYDNPI 1114682598
Title
Owner
Phone
(737) 708-6080

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4105 Medical Pkwy Ste 202
Austin, TX 78756-3725

Mailing address

4105 Medical Pkwy Ste 202
Austin, TX 78756-3725
Phone (737) 708-6080

National Provider Directory

National Provider Directory

Locations

4105 Medical Pkwy
Ste 202
Austin, TX 78756
Phone (512) 522-3535

Practitioners & affiliated clinicians

Practitioners 2

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": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1942009543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 MEDICAL PKWY STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563725",
            "telephone_number": "737-708-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 MEDICAL PKWY STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563725",
            "telephone_number": "737-708-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN HOLISTIC PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-708-6080",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 7, 2025; 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.