Provider Demographics
NPI:1932672649
Name:STAATS PSYCHIATRIC SERVICES PLLC
Entity Type:Organization
Organization Name:STAATS PSYCHIATRIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STAATS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:512-888-5918
Mailing Address - Street 1:12151 W PARMER LN STE 202
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2171
Mailing Address - Country:US
Mailing Address - Phone:512-593-7070
Mailing Address - Fax:
Practice Address - Street 1:12151 W PARMER LN STE 202
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2171
Practice Address - Country:US
Practice Address - Phone:512-593-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty