SPECIALTY CLINIC MEDICAL GROUP, PLLC (NPI# 1629409909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629409909 |
| Entity Type | Organization |
| Organization Name | SPECIALTY CLINIC MEDICAL GROUP, PLLC |
| Other Organization Name | SPECIALTY CLINIC OF AUSTIN |
| Practice Address |
4515 Seton Center Pkwy Suite 175 Austin TX 78759-5290 |
| Practice Telephone | 5123821933 |
| Practice Fax Number | 5127774949 |
| Mailing Telephone | 5123821933 |
| Mailing Fax Number | 5127774949 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |
| Authorized Official Name | DR. DIVYANSU PATEL (MANAGER) |
| Authorized Official Telephone | 5123821933 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Specialty Clinic of Austin | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235535121 | Specialty Clinic Medical Group, Pllc | Psychiatry & Neurology | 5625 Eiger Rd, Ste 215, Austin, TX 78735-8977 | 2014-11-05 |
| Street Address |
4515 SETON CENTER PKWY SUITE 175 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-5290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629084983 | Robert Y Meyerson | Family Medicine | 4515 Seton Center Pkwy, Suite 220, Austin, TX 78759-5290 | 2006-07-31 |
| 1710443205 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 4515 Seton Center Pkwy, Ste 220, Austin, TX 78759-5784 | 2019-02-20 |
| 1710492004 | Alexander Kohut | Social Worker | 4515 Seton Center Pkwy, Austin, TX 78759-5290 | 2017-12-07 |
| 1740737444 | Jolly Elizabeth John | Physician Assistant | 4515 Seton Center Pkwy, Ste 175, Austin, TX 78759-5290 | 2016-09-10 |
| 1043632086 | Ashley Brannon | Physician Assistant | 4515 Seton Center Pkwy, Suite 175, Austin, TX 78759-5290 | 2014-01-10 |
| 1093053373 | Specialty Clinic of Austin Pa | Psychiatry & Neurology | 4515 Seton Center Pkwy, 175, Austin, TX 78759-5290 | 2013-01-22 |
| 1790090314 | Tracy Woodrick Armstrong | Audiologist | 4515 Seton Center Pkwy, Suite 100, Austin, TX 78759-5290 | 2010-08-09 |
| 1255665725 | Denise Descouzis | Audiologist | 4515 Seton Center Pkwy, Suite 100, Austin, TX 78759-5290 | 2009-09-30 |
| 1437304243 | Carson Paul Higgs | Family Medicine | 4515 Seton Center Pkwy, Suite 220, Austin, TX 78759-5290 | 2008-11-20 |
| 1710178702 | Divyansu Dhirendra Patel | Psychiatry & Neurology | 4515 Seton Center Pkwy, Suite 175, Austin, TX 78759-5290 | 2007-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| 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 |
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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.