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).
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 |
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 |
Street Address |
5424 W HIGHWAY 290 STE 108 |
City | AUSTIN |
State | TX |
Zip Code | 78735-8827 |
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 |
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 | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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] |
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 |
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.