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JANUS PSYCHOLOGICAL SERVICES PLLC NPI 1225763709


NPI Information

NPI: 1225763709
Provider Name: JANUS PSYCHOLOGICAL SERVICES, PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2222 WESTERN TRAILS BLVD STE 107
AUSTIN, TX
ZIP 78745
Phone: (512) 815-3814
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JANUS PSYCHOLOGICAL SERVICES, PLLC is an adult mental health clinic center in Austin, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. JANUS PSYCHOLOGICAL SERVICES, PLLC NPI is 1225763709. The provider is registered as an organization entity type.

The provider's business location address is:

2222 WESTERN TRAILS BLVD STE 107
AUSTIN, TX
ZIP 78745-601
Phone: (512) 815-3814

The provider's authorized official is Annelisa Pedersen .
The authorized official title is Clinical Psychologist and has the following contact phone number (512) 815-3814.

The enumeration date for this NPI number is 7/19/2022 and was last updated on 7/19/2022.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356589683OTHERBCBSTX

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: 5/5/2024

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