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HEALTH AND HUMAN SERVICES COMMISSION NPI 1003823030


NPI Information

NPI: 1003823030
Provider Name: HEALTH AND HUMAN SERVICES COMMISSION

Doing Business As: AUSTIN STATE HOSPITAL

Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization

CLIA Number: 45D0505790

Address:
4110 GUADALUPE ST
AUSTIN, TX
ZIP 78751
Phone: (512) 419-2843
Get Directions

HEALTH AND HUMAN SERVICES COMMISSION is a clinical neuropsychologist in Austin, TX. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. HEALTH AND HUMAN SERVICES COMMISSION NPI is 1003823030. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Austin State Hospital.

The provider's business location address is:

4110 GUADALUPE ST
AUSTIN, TX
ZIP 78751-296
Phone: (512) 419-2843
Fax: (512) 419-2683

The provider's authorized official is Jana Johnson .
The authorized official title is Accountant Iii and has the following contact phone number (512) 206-5284.

The CLIA number assigned to this NPI record is 45D0505790 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 8/25/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistTEXASNo
2103TC0700XPsychologistClinicalTEXASNo
3183500000XPharmacistTEXASNo
42084F0202XPsychiatry & NeurologyForensic PsychiatryTEXASNo
52084P0800XPsychiatry & NeurologyPsychiatryTEXASNo
62084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryTEXASNo
72084P0805XPsychiatry & NeurologyGeriatric PsychiatryTEXASNo
8208D00000XGeneral PracticeTEXASNo
9363A00000XPhysician AssistantTEXASNo
10363L00000XNurse PractitionerTEXASNo
11364S00000XClinical Nurse SpecialistTEXASNo
12103G00000XClinical NeuropsychologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HH3010OTHERTEXASBCBS DRUG/ALCOHOL
200G974MEDICARE OSCAR/CERTIFICATIONTEXAS
3HH4750OTHERTEXASBCBS PSYCHIATRIC
40827875-01MEDICAIDTEXAS
50937807-01MEDICAIDTEXAS
64539637OTHERTEXASPHARMACY NCPDP NUMBER
700G974MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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