LIZA POTAPENKO PSY.D. LLC (NPI# 1629567904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629567904 |
| Entity Type | Organization |
| Organization Name | LIZA POTAPENKO PSY.D. LLC |
| Practice Address |
2111 Dickson Dr Ste 10 Austin TX 78704-4788 |
| Practice Telephone | 5127107203 |
| Mailing Telephone | 5127107203 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | DR. ELIZAVETA POTAPENKO (PRESIDENT) |
| Authorized Official Telephone | 5127107203 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
36269 | TX | Ambulatory Health Care Facilities |
| Street Address |
2111 DICKSON DR STE 10 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-4788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624410 | Against The Grain Counseling | Clinic/Center | 6700 Menchaca Rd, Austin, TX 78745-5010 | 2020-06-19 |
| 1497399026 | Rebel In Bloom, Pllc | Clinic/Center | 2525 South Lamar Blvd, Ste 15, Austin, TX 78704-4789 | 2019-11-06 |
| 1205316213 | Planned Living Assistance Network of Central Texas Inc | Clinic/Center | 4110 Guadalupe St Bldg 781, Austin, TX 78751-4223 | 2018-08-19 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1306149687 | Richard Edmunds Coons | Clinic/Center | 1605 Niles Rd, Austin, TX 78703-3136 | 2010-12-08 |
| 1902037906 | Criscar P.a. | Clinic/Center | 3215 Steck Ave Ste 205, Austin, TX 78757-7584 | 2009-08-07 |
| 1417554460 | Tonality Counseling, Pllc | Clinic/Center | 13002 Steeple Chase Dr, Austin, TX 78729-7359 | 2020-10-02 |
| 1316555923 | Latham Fink, M.d., Ph.d., Pllc | Clinic/Center | 3501 Mills Ave, Austin, TX 78731 | 2020-07-20 |
| 1669010179 | Samantha Symons Md Pllc | Clinic/Center | 510 Hearn St Ste 100, Austin, TX 78703-4516 | 2019-12-16 |
| 1306402839 | Michelle Marshall Psychiatry Services | Clinic/Center | 3305 Northland Dr Ste 210, Austin, TX 78731-4988 | 2019-05-09 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.