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DR. FRED IMUENTINYAN JR. PHD
NPI 1508680174
Psychologist - Clinical in Austin, TX

Active since November 11, 2024
5900 BALCONES DR STE 100, AUSTIN, TX 78731(817) 676-1908 Get Directions Write a Review

NPPES record last updated: January 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fred Imuentinyan Jr. Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRED IMUENTINYAN JR. PHD (NPI 1508680174) is an individual clinical provider in Austin, Texas, licensed in Texas (40056) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1508680174
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. FRED IMUENTINYAN JR.Credential: PHD
Location Address5900 BALCONES DR STE 100Austin, TX 78731-4298
Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298
Phone(817) 676-1908
Sole ProprietorYes
Enumeration DateNovember 11, 2024
Last NPPES UpdateJanuary 19, 2025
NPPES CertifiedJanuary 19, 2025
✔ NPI 1508680174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 40056
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5900 BALCONES DR STE 100, Austin, TX 78731
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYWOOD WELLNESS AND COUNSELING PLLC
Clinic/Center (Adult Mental Health)
5900 BALCONES DR STE 100
AUSTIN, TX 78731
Travis County (512) 598-0516
LINDSAY MANFULL
Counselor (Professional)
5900 BALCONES DR STE 100
AUSTIN, TX 78731
Travis County (210) 390-6048
ELLIOTT AND GRACE LLC
Nurse Practitioner (Psychiatric/Mental Health)
5900 BALCONES DR STE 100
AUSTIN, TX 78731
Travis County (512) 318-2199
WELLSPACE FAMILY SERVICS, PLLC
Social Worker (Clinical)
5900 BALCONES DR STE 100
AUSTIN, TX 78731
Travis County (512) 337-2324
NEXT SUMMIT COUNSELING, PLLC
Counselor (Mental Health)
5900 BALCONES DR STE 100
AUSTIN, TX 78731
Travis County (832) 713-6350
JENNIFER ZAMUDIO MS, LPC-ASSOCIATE
Counselor (Professional)
5900 BALCONES DR STE 100
AUSTIN, TX 78731
Travis County (469) 890-8092
MENTAL FREEDOM THERAPEUTIC SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5900 BALCONES DR STE 100
AUSTIN, TX 78731
Travis County (346) 285-5433
ASHLEY MARTINEZ
Counselor
5900 BALCONES DR STE 100
AUSTIN, TX 78731
Travis County (956) 970-0549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Imuentinyan's NPI number?

The NPI number for Fred Imuentinyan is 1508680174. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Fred Imuentinyan located?

Fred Imuentinyan practices at 5900 Balcones Dr Ste 100, Austin, TX 78731. The listed phone number is (817) 676-1908.

What is Fred Imuentinyan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Fred Imuentinyan was last updated on January 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.