Provider Demographics
NPI:1962824318
Name:CEDAR PARK PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:CEDAR PARK PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARLINGHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-593-5577
Mailing Address - Street 1:1464 E WHITESTONE BLVD
Mailing Address - Street 2:1504
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-9058
Mailing Address - Country:US
Mailing Address - Phone:512-593-5577
Mailing Address - Fax:512-593-5565
Practice Address - Street 1:1464 E WHITESTONE BLVD
Practice Address - Street 2:1504
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9058
Practice Address - Country:US
Practice Address - Phone:512-593-5577
Practice Address - Fax:512-593-5565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-19
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH22142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty