OrganizationActive
Central Pines Psychological Associates PLLC
NPI 1811189806 · Clinical Child & Adolescent Psychologist · Bastrop, TX
Provider details
- NPI number
- 1811189806
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jan Michell, Billing Manager(210) 473-4729
- License
- 33431 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1011 Alley a St
Bastrop, TX 78602-3240
Phone: (512) 529-1538
Fax: (210) 579-6582
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1003
Bastrop, TX 78602-1003
Registry dates
- Enumerated
- 2007-08-14
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.