DEEPSKY ENTERPRISES, PLLC (NPI# 1346411931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346411931 |
| Entity Type | Organization |
| Organization Name | DEEPSKY ENTERPRISES, PLLC |
| Other Organization Name | NATE HAVLICK, LCSW |
| Practice Address |
2306 Lake Austin Blvd # 203 Austin TX 78703-4546 |
| Practice Telephone | 5124641146 |
| Practice Fax Number | 5124641146 |
| Mailing Telephone | 5124641146 |
| Mailing Fax Number | 5124641146 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |
| Authorized Official Name | MR. NATHAN HAVLICK (OWNER) |
| Authorized Official Telephone | 5124641146 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
29883 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Nate Havlick, LCSW | Doing Business As Name - Organization |
| Street Address |
2306 LAKE AUSTIN BLVD # 203 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558479063 | Nathan Havlick | Social Worker | 2306 Lake Austin Blvd # 203, Austin, TX 78703-4546 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624410 | Against The Grain Counseling | Clinic/Center | 6700 Menchaca Rd, Austin, TX 78745-5010 | 2020-06-19 |
| 1497399026 | Rebel In Bloom, Pllc | Clinic/Center | 2525 South Lamar Blvd, Ste 15, Austin, TX 78704-4789 | 2019-11-06 |
| 1205316213 | Planned Living Assistance Network of Central Texas Inc | Clinic/Center | 4110 Guadalupe St Bldg 781, Austin, TX 78751-4223 | 2018-08-19 |
| 1629567904 | Liza Potapenko Psy.d. LLC | Clinic/Center | 2111 Dickson Dr Ste 10, Austin, TX 78704-4788 | 2018-05-02 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1306149687 | Richard Edmunds Coons | Clinic/Center | 1605 Niles Rd, Austin, TX 78703-3136 | 2010-12-08 |
| 1902037906 | Criscar P.a. | Clinic/Center | 3215 Steck Ave Ste 205, Austin, TX 78757-7584 | 2009-08-07 |
| 1417554460 | Tonality Counseling, Pllc | Clinic/Center | 13002 Steeple Chase Dr, Austin, TX 78729-7359 | 2020-10-02 |
| 1316555923 | Latham Fink, M.d., Ph.d., Pllc | Clinic/Center | 3501 Mills Ave, Austin, TX 78731 | 2020-07-20 |
| 1669010179 | Samantha Symons Md Pllc | Clinic/Center | 510 Hearn St Ste 100, Austin, TX 78703-4516 | 2019-12-16 |
| 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.