YOUR PSYCH NP LLC NPI 1063281038

NPI Information

  • NPI: 1063281038
  • Provider Name: YOUR PSYCH NP LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 612 W 22ND ST
    AUSTIN, TX
    ZIP 78705
  • Phone: (512) 515-9434

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NPI Details

YOUR PSYCH NP LLC is a psychiatric/mental health nurse practitioner in Austin, TX. YOUR PSYCH NP LLC NPI is 1063281038. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

612 W 22ND ST
AUSTIN, TX
ZIP 78705-104
Phone: (512) 515-9434
Fax: (682) 651-1468

The provider's authorized official is Trecy Bergen .
The authorized official title is Pmhnp- Bc and has the following contact phone number (828) 482-2174.

The enumeration date for this NPI number is 1/1/2024 and was last updated on 2/22/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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