Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Specialty Clinic Medical Group, PLLC

Organization Psychiatry Physician · NPI 1629409909

Specialty Clinic Medical Group, PLLC is a Psychiatry Physician in Austin, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2217 Park Bend Dr Ste 300
Austin, TX 78758-5674
Phone: (512) 382-1933
Fax: (512) 777-4949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Psychiatry Physician Taxonomy 2084P0800X (TX)

Record details

NPI number1629409909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Divyansu Patel — Manager · (512) 382-1933
Other names Specialty Clinic Of Austin; Specialty Clinic Of Austin
NPI enumeratedDecember 11, 2013
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022
Mailing address2217 Park Bend Dr Ste 300, Austin, TX 78758-5674

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