SPECIALTY CLINIC MEDICAL GROUP, PLLC (NPI# 1235535121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235535121 |
| Entity Type | Organization |
| Organization Name | SPECIALTY CLINIC MEDICAL GROUP, PLLC |
| Other Organization Name | SPECIALTY CLINIC OF AUSTIN |
| Practice Address |
5625 Eiger Rd Ste 215 Austin TX 78735-8977 |
| Mailing Address |
4515 Seton Center Pkwy Ste 175 Austin TX 78759-5290 |
| Practice Telephone | 5123821933 |
| Practice Fax Number | 5127774949 |
| Mailing Telephone | 5123821933 |
| Mailing Fax Number | 5127774949 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | MS. JACQUELINE CAPISTRAN (BILLING MANAGER) |
| Authorized Official Telephone | 5123821933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Specialty Clinic of Austin | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629409909 | Specialty Clinic Medical Group, Pllc | Psychiatry & Neurology | 4515 Seton Center Pkwy, Suite 175, Austin, TX 78759-5290 | 2013-12-11 |
| Street Address |
5625 EIGER RD STE 215 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78735-8977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311985 | Darren Eugene Geyer | Family Medicine | 5625 Eiger Rd, Suite 200, Austin, TX 78735-8982 | 2005-07-21 |
| 1154953834 | Michael John Gorman-smith | Physician Assistant | 5625 Eiger Rd, Austin, TX 78735-8978 | 2020-02-10 |
| 1346712650 | Center for Vein Restoration Tx LLC | Emergency Medicine | 5625 Eiger Rd, Austin, TX 78735-8977 | 2018-12-27 |
| 1982104204 | Tch Pediatrics Inc | Pediatrics | 5625 Eiger Rd, Austin, TX 78735-8977 | 2018-02-13 |
| 1487196614 | Alan D Silberberg, Md Pa | Pain Medicine | 5625 Eiger Rd, Suite 160, Austin, TX 78735-8977 | 2016-11-04 |
| 1376917286 | Kathryn Bonham Breihan | Registered Nurse | 5625 Eiger Rd, Austin, TX 78735-8977 | 2015-11-17 |
| 1528457629 | Central Texas Oral Health Pllc | Dentist | 5625 Eiger Rd, Suite 135, Austin, TX 78735-8977 | 2015-01-13 |
| 1215325378 | Leslie Brice | Physician Assistant | 5625 Eiger Rd, Suite 200, Austin, TX 78735-8977 | 2014-12-24 |
| 1912302514 | Margaret Ann Martin | Nurse Practitioner | 5625 Eiger Rd, Suite 200, Austin, TX 78735-8982 | 2014-10-27 |
| 1689086365 | Howerton Eye Clinic, Pllc | Ophthalmology | 5625 Eiger Rd, Suite 100, Austin, TX 78735-8977 | 2014-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| 1134763162 | Amanda Enzbigilis | Physical Therapist | 5251 W Us Highway 290, Austin, TX 78735 | 2019-11-02 |
| 1427616408 | Soco Psychotherapy, Inc | Counselor | 4425 Mopac Expressway South, Bldg II, Suite 204, Austin, TX 78735 | 2019-06-04 |
| 1306306154 | Kelly Bolerjack | Doula | 4400 Twisted Tree Drive, Austin, TX 78735 | 2019-03-20 |
| 1407362619 | Sara Katherine Paules | Counselor | 4425 South Mopac Expy, Suite 502, Austin, TX 78735 | 2017-12-26 |
| 1851806418 | Circle Medical Care of Texas P. A. | Internal Medicine | 5424 W. Us Hwy 290, 101, Austin, TX 78735 | 2017-12-05 |
| 1699293266 | Derek Kalvin Vo | Dentist | 7612 W Highway 71 Ste B, Austin, TX 78735 | 2017-09-05 |
| 1588189013 | Rachel Caroline Boraten | Audiologist | 5625 Eiger Rd Ste 125, Austin, TX 78735 | 2017-08-05 |
| 1669908489 | Lesley Caldwell Ma Lpc Pllc | Counselor | 4425 South Mopac Expy., Building IIi, Suite 603, Austin, TX 78735 | 2017-05-11 |
| Find all providers in zip 78735 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063975134 | Austin Mind and Behavioral Health, LLC | Psychiatry & Neurology | 11673 Jollyville Rd Ste 201, Austin, TX 78759-4211 | 2019-04-07 |
| 1306311311 | Wendy W Lowry | Psychiatry & Neurology | 10311 Kariba Cv, Austin, TX 78726-1396 | 2018-10-05 |
| 1548762321 | Amana Psychiatric Associates | Psychiatry & Neurology | 4131 Spicewood Springs Rd Ste L2, Austin, TX 78759-8652 | 2018-03-07 |
| 1063913226 | Susan Stice Thompson | Psychiatry & Neurology | 4206 Gnarl Dr, Austin, TX 78731-2012 | 2018-02-23 |
| 1760905913 | Maitreyee Patel Lund,md,pllc | Psychiatry & Neurology | 12343 Hymeadow Dr Ste 2m, Austin, TX 78750-1830 | 2017-07-19 |
| 1699209650 | Mary Theresa Valls | Psychiatry & Neurology | 6712d Valburn Dr, Austin, TX 78731-1802 | 2017-04-17 |
| 1063879989 | Austinpsychiatric Services Pllc | Psychiatry & Neurology | 2806 Flintrock Trce Ste A103, Austin, TX 78738-1745 | 2016-01-22 |
| 1427427798 | Mark C. Schuchman, Md., Pllc | Psychiatry & Neurology | 11320 Viridian Way, Austin, TX 78739-2093 | 2015-09-17 |
| 1952798860 | Eden Maria Rouse | Psychiatry & Neurology | 1524 S Interstate 35 Ste 202, Austin, TX 78704-2671 | 2015-04-17 |
| 1033505979 | Kari Lanae Whatley | Psychiatry & Neurology | 1345 Philomena St Ste 300, Austin, TX 78723-3240 | 2015-04-07 |
| Find all providers in AUSTIN | ||||
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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.