Organization Active NPI

Ross E Devere PHD PLLC

  • Clinical Neuropsychologist
  • Cedar Park, TX
National Provider Identifier
1982845111
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
34236 Issued in TX
Legal business name
ROSS E DEVERE PHD PLLC
Practice address
301 Denali Pass Ste 4
Cedar Park, TX 78613-2079
Phone
(512) 261-3999
Fax
(512) 261-3991
NPI assigned
Mar 18, 2009
Last updated
Jan 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Ross Evan Devere, PH.D.NPI 1336359264
Title
Licensed Psychologist
Phone
(512) 261-3999

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 NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 34236 TX Primary

Addresses

Primary practice location

301 Denali Pass Ste 4
Cedar Park, TX 78613-2079

Mailing address

301 Denali Pass Ste 4
Cedar Park, TX 78613-2079
Phone (512) 261-3999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090526000244 TX Part B Supplier - Clinic/Group Practice 3476602368 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Park, TX

National Provider Directory

National Provider Directory

Locations

301 Denali Pass
Ste 4
Cedar Park, TX 78613
Phone (512) 261-3999

1200 Lakeway Dr
Ste 8
Lakeway, TX 78734
Phone (512) 248-9000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1982845111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DENALI PASS STE 4",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132079",
            "telephone_number": "512-261-3999",
            "fax_number": "512-261-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DENALI PASS STE 4",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132079",
            "telephone_number": "512-261-3999",
            "fax_number": "512-261-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS E DEVERE PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "DEVERE",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-261-3999",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34236",
            "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 Jan 6, 2020; 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.