Active NPI
Williamsburg Therapy Group Austin PLLC
Doing business as Williamsburg Therapy Group
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1962115501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- WILLIAMSBURG THERAPY GROUP AUSTIN PLLC
- Doing business as
- Williamsburg Therapy Group
- Practice address
- 2121 S Lamar Blvd Ste 200
Austin, TX 78704-4948 - Phone
- (718) 757-7033
- NPI assigned
- Dec 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Selling, PSY.D.
- Title
- Managing Director
- Phone
- (718) 757-7033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2121 S Lamar Blvd Ste 200
Austin, TX 78704-4948
Mailing address
2121 S Lamar Blvd Ste 200
Austin, TX 78704-4948
Phone (718) 757-7033
Other names 1
- Williamsburg Therapy Group
National Provider Directory
National Provider DirectoryLocations
2121 S Lamar Blvd
Ste 200
Austin, TX 78704
Phone (512) 675-1262
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1528375029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672185600000",
"number": "1962115501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 S LAMAR BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787044948",
"telephone_number": "718-757-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 S LAMAR BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787044948",
"telephone_number": "718-757-7033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMSBURG THERAPY GROUP AUSTIN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A",
"authorized_official_last_name": "SELLING",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "718-757-7033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Williamsburg Therapy Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.