Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Markus Miller Provence, PHD

Individual provider Clinical Psychologist · NPI 1952920100

Dr. Markus Miller Provence, PHD is a Clinical Psychologist in Austin, Texas. Qualified in 2016, 10 years ago. Practices with Deep Eddy Psychotherapy Management, LLC, a 77-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2600 W Stassney Ln
Austin, TX 78745-3401
Phone: (650) 248-7274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 37537 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence 37537 (TX)

Record details

NPI number1952920100
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 8, 2020
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Deep Eddy Psychotherapy Management, Llc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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