DR. ROBERTA TSUKAHARA (NPI# 1093938714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093938714 |
Entity Type | Individual |
Full Name | DR. ROBERTA TSUKAHARA |
Credential | PH.D. |
Practice Address |
720 W 34th St Suite 100 Austin TX 78705-1205 |
Mailing Address |
4504 Reynosa Dr Austin TX 78739-4377 |
Practice Telephone | 5122914338 |
Mailing Telephone | 5122914338 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | 7096 | MA | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
31567 | TX | Behavioral Health & Social Service Providers |
Street Address |
720 W 34TH ST SUITE 100 |
City | AUSTIN |
State | TX |
Zip Code | 78705-1205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346218666 | Alma Morgan | Emergency Medicine | 720 W 34th St, Suite 101, Austin, TX 78705-1205 | 2006-03-11 |
1801342779 | Sarah M. Ganske | Audiologist | 720 W 34th St, Suite 110, Austin, TX 78705-1205 | 2016-08-30 |
1114309663 | Mrnd, LLC | Specialist/Technologist, Other | 720 W 34th St, Suite 110, Austin, TX 78705-1205 | 2015-06-22 |
1457744070 | Alexander Alvarez, M.d., P.a. | Allergy & Immunology | 720 W 34th St, Suite 200, Austin, TX 78705-1205 | 2015-03-05 |
1508283383 | Flu Busters LLC | Clinic/Center | 720 W 34th St, Suite 200, Austin, TX 78705-1205 | 2014-03-18 |
1427302652 | Pathwrite, Inc. | Durable Medical Equipment & Medical Supplies | 720 W 34th St, Suite 225, Austin, TX 78705-1205 | 2012-11-09 |
1063774602 | Steven K. Booton, M.d., P.a. | Internal Medicine | 720 W 34th St, Suite 100, Austin, TX 78705-1205 | 2012-06-11 |
1558672691 | Alexander Javier Alvarez | Allergy & Immunology | 720 W 34th St, Suite 200, Austin, TX 78705-1205 | 2010-06-23 |
1003043662 | Eben O Soliz | Physician Assistant | 720 W 34th St, Suite 200, Austin, TX 78705-1205 | 2009-06-22 |
1225284037 | Matthew Shane Conner | Emergency Medicine | 720 W 34th St, Austin, TX 78705-1205 | 2008-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
Find all providers in zip 78705 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356988372 | Jennifer Reynolds | Clinical Neuropsychologist | 8005 Canyon Parke Ct, Austin, TX 78726-4029 | 2019-12-09 |
1649835216 | Kaleidoscope Counseling and Assessment | Clinical Neuropsychologist | 1705 S Capital of Texas Hwy Ste 130, Austin, TX 78746-6587 | 2019-05-08 |
1174988257 | Myers-fabian Neuropsychology, Pllc | Clinical Neuropsychologist | 5716 W Highway 290, Suite 110, Austin, TX 78735-8700 | 2015-12-16 |
1659683845 | Allison Myers-fabian | Clinical Neuropsychologist | 5716 W Highway 290 Ste 110, Austin, TX 78735-8719 | 2010-07-05 |
1710201611 | James G Underhill | Clinical Neuropsychologist | 1702a W 6th St, Austin, TX 78703-4771 | 2010-03-22 |
1700108818 | Emily Strassner Greenspahn | Clinical Neuropsychologist | 1301 Barbara Jordan Blvd Ste 402, Austin, TX 78723-3078 | 2010-02-17 |
1295976140 | Leslie Dee Rosenstein | Clinical Neuropsychologist | 1600 W 38th St Ste 421, Austin, TX 78731-6407 | 2009-03-23 |
1184875874 | Deborah L Stote | Clinical Neuropsychologist | 108 E Dean Keeton St, Psy Rm 6.106, Austin, TX 78712-1043 | 2008-10-01 |
1245386473 | Kevin M Mcfarley | Clinical Neuropsychologist | 3421 Bee Caves Rd, Austin, TX 78746 | 2007-01-29 |
1356340293 | William Anson Dailey | Clinical Neuropsychologist | 711 W 38th St, Suite D-3, Austin, TX 78705-1121 | 2005-07-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.