DEEP EDDY ADVANCED CARE LLC
NPI 1174225247
Psychologist in Austin, TX

NPI Status: Active since March 21, 2023

Contact Information

2600 W STASSNEY LN
AUSTIN, TX
ZIP 78745
Phone: (512) 469-0889

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  • Organization
  • Psychologist

About DEEP EDDY ADVANCED CARE LLC

This page provides the complete NPI Profile along with additional information for Deep Eddy Advanced Care Llc, a provider established in Austin, Texas operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1174225247 assigned on March 2023. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Deep Eddy Advanced Care Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Adam Maurer (Ceo)

NPI
1174225247
Provider Name
DEEP EDDY ADVANCED CARE LLC
Entity Type
Organization
Location Address
2600 W STASSNEY LN AUSTIN, TX 78745
Location Phone
(512) 469-0889
Mailing Address
2600 W STASSNEY LN AUSTIN, TX 78745
Mailing Phone
(512) 469-0889
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2023
Last Update Date
03-21-2023
Code Navigator

A psychologist like Deep Eddy Advanced Care Llc studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Secondary Locations

  • 8140 N Mopac Expy Bldg 4
    Austin, TX 78759
    (512) 956-6463
  • 1500 W 38th St Ste 44
    Austin, TX 78731
    (512) 956-6463
  • 508 Deep Eddy Ave
    Austin, TX 78703
    (512) 956-6463
  • 3006 Bee Caves Rd Ste D310
    Austin, TX 78746
    (512) 956-6463

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
3103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADAM MAURER

Authorized Official Title
CEO
Authorized Official Phone
(281) 772-1151

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174225247
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144421028
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 4 + 2 + 1 + 0 + 2 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1174225247 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437806031 PATRICIA VISCAINO
Individual
Counselor (Professional)2600 W STASSNEY LN
AUSTIN, TX 78745
(210) 504-5974
1740991744DR. AARON DEMBE PHD
Individual
Psychologist (Counseling)2600 W STASSNEY LN
AUSTIN, TX 78745
(512) 855-2948
1386238673 MERRIK LAINE HETHERINGTON
Individual
Counselor2600 W STASSNEY LN
AUSTIN, TX 78745
(512) 672-9357
1679263461DR. ELIZABETH DOROTHY KOTIN LP
Individual
Psychologist (Clinical)2600 W STASSNEY LN
AUSTIN, TX 78745
(512) 787-7946
1346014610 KATHERINE OLIVIA TRONE
Individual
Psychologist (Clinical)2600 W STASSNEY LN
AUSTIN, TX 78745
(336) 420-7530
1750846127 EDWARDO SALVADOR RODRIGUEZ JR. LCSW
Individual
Social Worker (Clinical)2600 W STASSNEY LN
AUSTIN, TX 78745
(214) 945-1168
1053126979 REBECCA THOMPSON LCSW
Individual
Social Worker (Clinical)2600 W STASSNEY LN
AUSTIN, TX 78745
(512) 729-8522
1922896695 CARL SCHROEDER PSYD
Individual
Psychologist2600 W STASSNEY LN
AUSTIN, TX 78745
(512) 729-8522

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174225247, enumerated in the NPI registry as an "organization" on March 21, 2023

The provider is located at 2600 W Stassney Ln Austin, Tx 78745 and the phone number is (512) 469-0889

This medical organization specializes in Psychologist with taxonomy code 103T00000X

This NPI record was last updated on March 21, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.