KATRIJN SEYNNAEVE WILSON


Address: 5424 W Highway 290 Ste 108, Austin, TX 78735-8827
Phone: (512) 430-1130

KATRIJN SEYNNAEVE WILSON (NPI# 1861655540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861655540
Entity Type Individual
Full Name KATRIJN SEYNNAEVE WILSON
Credential M.D.
Practice Address 5424 W Highway 290 Ste 108
Austin
TX 78735-8827
Practice Telephone (512) 430-1130
Practice Fax Number 5126776806
Mailing Telephone (512) 430-1130
Mailing Fax Number 5126776806
Enumeration Date 2008-07-03
Last Update Date 2017-08-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
P8432 TX Allopathic & Osteopathic Physicians
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
MD442853 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 5424 W HIGHWAY 290 STE 108
City AUSTIN
State TX
Zip Code 78735-8827

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134605785 Susanna-rachel Salome Seay Nurse Practitioner 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 2018-07-17
1669996443 Jaclyn Kramer Nurse Practitioner 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 2017-08-02
1477095750 J&j Psychiatric Associates LLP Nurse Practitioner 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 2016-11-17
1225489529 Aaron Jones Cummins Social Worker 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 2016-06-28
1316352289 Ricki Robinson Nurse Practitioner 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 2014-06-30
1033551270 Lori Elizabeth Fox Nurse Practitioner 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 2013-07-29
1225365943 Tatyana Gustafson Nurse Practitioner 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 2009-11-17
1609002575 Donna Gail Rolin Registered Nurse 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 2009-06-05

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902215098 Iris Telehealth Medical Group Pa Psychiatry & Neurology 114 W 7th St Ste 650, Austin, TX 78701-3039 2014-08-04
1275899833 Matthew Mceachern Psychiatry & Neurology 114 W 7th St Ste 900, Austin, TX 78701-3013 2012-04-09
1396976668 Laurie Katherine Seremetis Psychiatry & Neurology 1016 Shelley Ave, Austin, TX 78703-4839 2009-08-04
1487702684 Jay Alan Davis, Md Psychiatry & Neurology 202 Ashworth Dr, Austin, TX 78746-4604 2007-01-07
1548343254 James Bayliss Psychiatry & Neurology 4110 Guadalupe St., Attn. Reimbursement Dept., Austin, TX 78751-4296 2006-10-24
1871674572 Randall Mcintyre Psychiatry & Neurology 3160 Bee Cave Rd, Suite 201, Austin, TX 78746-5802 2006-10-18
1184665648 Frank S. Floca Psychiatry & Neurology 1007 Mo Pac Cir Ste 203, Austin, TX 78746-6864 2006-06-08
1215933015 James H Grubbs Psychiatry & Neurology 210 Lee Barton Dr, #318, Austin, TX 78704-1045 2005-06-27
1487650156 James G Baker Psychiatry & Neurology Dell Medical School Dept of Psychiatry, 1701 Trinity, Austin, TX 78712 2005-06-27
1639568991 Vibrant Minds, Pllc Psychiatry & Neurology 10711 Burnet Rd, Suite 321, Austin, TX 78758-4478 2015-01-09
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Competitor

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City AUSTIN
Zip Code 78735

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Dataset Information

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.

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