Provider Demographics
NPI:1922464643
Name:TEXAS OPTIMAL PERFORMANCE & PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:TEXAS OPTIMAL PERFORMANCE & PSYCHOLOGICAL SERVICES
Other - Org Name:TOPPS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF PSYCHOLOGICAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-910-5363
Mailing Address - Street 1:3007 N LAMAR BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705
Mailing Address - Country:US
Mailing Address - Phone:512-910-5363
Mailing Address - Fax:
Practice Address - Street 1:3007 N LAMAR BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-910-5363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36485103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty