CENTRAL PINES PSYCHOLOGICAL ASSOCIATES PLLC
NPI 1811189806
Psychologist - Clinical Child & Adolescent in Bastrop, TX

Active since August 14, 2007
1011 ALLEY A ST, BASTROP, TX 78602(512) 529-1538(210) 579-6582 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central Pines Psychological Associates Pllc NPPES

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

CENTRAL PINES PSYCHOLOGICAL ASSOCIATES PLLC (NPI 1811189806) is a healthcare organization registered as a clinical child & adolescent in Bastrop, Texas and active in the NPI registry since August 2007. The organization lists Jan Ulrik Michell, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1811189806
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameCENTRAL PINES PSYCHOLOGICAL ASSOCIATES PLLC
Location Address1011 ALLEY A STBastrop, TX 78602-3240
Mailing AddressPo Box 1003Bastrop, TX 78602-1003 · (512) 529-1538 · Fax (210) 579-6582
Fax(210) 579-6582
Organization SubpartNo
Authorized OfficialJan Ulrik MichellBilling Manager · (210) 473-4729
Enumeration DateAugust 14, 2007
Last NPPES UpdateJune 13, 2008
NPI 1811189806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in TX · 33431
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1011 ALLEY A ST, Bastrop, TX 78602

Other Identifiers 1

Medicare PIN00Y499TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Professional)
1011 ALLEY A ST
BASTROP, TX 78602
Counselor (Professional)
1011 ALLEY A ST
BASTROP, TX 78602
Counselor (Professional)
1011 ALLEY A ST
BASTROP, TX 78602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811189806, enumerated as an "organization" on August 14, 2007.

The provider is located at 1011 ALLEY A ST BASTROP, TX 78602 and the phone number is (512) 529-1538.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.