P Praxis·MD
● Active Type 1 · Individual

DR. Fred Imuentinyan JR., PHD

Psychologist·Austin, TX· NPI 1508680174 · Enumerated 2024 · 1 years on NPI
Imuentinyan is 1 of 359 psychologist providers in Austin and 1 of 3401 in Texas.
NPI age
1 years
Enumerated 2024-11-11
Primary specialty
Psychologist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3401 active psychologist providers in Texas.

NPI age
1 years
↓ 14 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-11Enumerated in NPPES
2024 2026

Where they practice

Practice location
5900 Balcones Dr Ste 100
Austin, TX 787314298
📞 8176761908
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 787314298

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    TX license #40056 taxonomy 103TC0700X

Practice context

Part of a multi-provider practice. 450 other active providers share this practice address in NPPES.

Recently enumerated nearby: 10 new psychologist providers have been added in Austin in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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