DEEP EDDY PSYCHOTHERAPY MANAGEMENT, LLC
NPI 1457740862
Psychologist - Counseling in Austin, TX
NPI Status: Active since January 22, 2015
Contact Information
508 DEEP EDDY AVE.
AUSTIN, TX
ZIP 78703
Phone: (512) 956-6463
Fax: (512) 428-8100
- Organization
- Psychologist
- Counseling
- Accepts Insurance
About DEEP EDDY PSYCHOTHERAPY MANAGEMENT, LLC
This page provides the complete NPI Profile along with additional information for Deep Eddy Psychotherapy Management, Llc, a provider established in Austin, Texas operating as a Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1457740862 assigned on January 2015. The practitioner's primary taxonomy code is 103TC1900X with license number 34890 (TX). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Deep Eddy Psychotherapy, Pllc. The authorized official of this NPI record is Glenn R. Olds Ph.d. (Managing Psychologist)
- NPI
- 1457740862
- Provider Legal Name
- DEEP EDDY PSYCHOTHERAPY MANAGEMENT, LLC
- Other Organization Name
- DEEP EDDY PSYCHOTHERAPY, PLLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 508 DEEP EDDY AVE. AUSTIN, TX 78703
- Location Phone
- (512) 956-6463
- Location Fax
- (512) 428-8100
- Mailing Address
- 508 DEEP EDDY AVE. AUSTIN, TX 78703
- Mailing Phone
- (512) 461-0239
- Mailing Fax
- (512) 428-8100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2015
- Last Update Date
- 12-27-2022
- Code Navigator
Location Map
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 Counseling
- Taxonomy Code
- 103TC1900X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 34890
- License State
- TX
- Taxonomy Description
- A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
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) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 21274 (TX) |
| 2 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | 34301 (TX) |
| 3 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | 20938 (TX) |
| 4 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | 33076 (TX) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1457740862, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457740862, enumerated as an "organization" on January 22, 2015.
The provider is located at 508 DEEP EDDY AVE. AUSTIN, TX 78703 and the phone number is (512) 956-6463.
Psychologist with taxonomy code 103TC1900X and a focus in Counseling.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
