Provider Demographics
NPI:1871317933
Name:CULTURAL COMPASS PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:CULTURAL COMPASS PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:THANUSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEELAPAREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:469-371-7698
Mailing Address - Street 1:5506 PEPPERTREE PKWY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-3624
Mailing Address - Country:US
Mailing Address - Phone:469-371-7698
Mailing Address - Fax:
Practice Address - Street 1:8700 MENCHACA RD STE 303
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5374
Practice Address - Country:US
Practice Address - Phone:512-866-1310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty