TEXAS CHILD STUDY CENTER (NPI# 1548513195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548513195 |
| Entity Type | Organization |
| Organization Name | TEXAS CHILD STUDY CENTER |
| Practice Address |
1600 W 38th St Ste 212 Austin TX 78731-6405 |
| Practice Telephone | 5123243315 |
| Practice Fax Number | 5123243314 |
| Mailing Telephone | 5123243315 |
| Mailing Fax Number | 5123243314 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | DR. KEVIN D STARK (DIRECTOR) |
| Authorized Official Telephone | 5123243315 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
36256 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1600 W 38TH ST STE 212 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821252685 | Lynn Monnat | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2008-07-10 |
| 1174065247 | Alexandra Lamari-fisher | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2016-11-07 |
| 1477964526 | Julie Ellis Tollemache | Psychiatry & Neurology | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2014-05-12 |
| 1750717468 | Catherine Funk | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2013-09-26 |
| 1003242710 | David Robert Heckler | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2013-09-26 |
| 1407108814 | Janie E Black | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2012-10-09 |
| 1225313851 | Puja Gandhi Patel | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2011-10-14 |
| 1447404918 | Kevin Douglas Stark | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010126 | Ankita Krishnan | Psychologist | 1601 Trinity St Bldg B, Austin, TX 78712-1765 | 2020-07-13 |
| 1982253555 | Sarah A Koenig | Psychologist | 8500 Shoal Creek Blvd Bldg 4, Austin, TX 78757-7591 | 2019-09-06 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1366697203 | Kim Suzanne Davis | Psychologist | 3724 Jefferson St Ste 207, Austin, TX 78731-6221 | 2008-11-19 |
| 1821252685 | Lynn Monnat | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2008-07-10 |
| 1891823373 | Pamela Louise Retterath | Psychologist | 54135 244th St, Austin, MN 55912-5636 | 2007-02-28 |
| 1104836808 | James J Maynard | Psychologist | 500 Grace Lane, Austin, TX 78746 | 2006-08-08 |
| 1235744418 | Ana F. El Behadli Gonzalez | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-09-14 |
| 1891264396 | Laura Beth Frame | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-11-14 |
| 1821591231 | Meredith Irene Brinster | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-03-12 |
| 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.