Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194150235 Individual Practitioner Female Practitioner

Dr. Sallie Ann Boulos-Sophy , PhD

Psychologist • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Sallie Boulos-Sophy, PhD is a registered healthcare professional specializing in Psychologist in Austin, TX. Practice services are available at 4601 SPICEWOOD SPRINGS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4601 Spicewood Springs Rd
Bldg 4, Suite 200

Austin, TX 78759

Telephone 5124671376
Fax 5124678658
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
257 Specialists

Practicing in Austin, TX (2266 Statewide)

Telehealth Adoption Rate
5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-31
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 36441

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Alberto Cabrera , LCSW

Social Worker - Clinical

NPI 1134717978

Licensed Clinical Social Worker

Dr. Samuel Hackworth , PhD

Psychologist - Clinical Child & Adolescent

NPI 1194928317

Doctor of Philosophy (Ph.D.)

Dr. Kelley Farmer , MD

Psychiatry & Neurology - Psychiatry

NPI 1235273863

Doctor of Medicine (M.D.)

Michelle Ellisor , LMFT

Marriage & Family Therapist

NPI 1295039998

Licensed Marriage and Family Therapist

Dr. Gary Glass , MD

Psychiatry & Neurology - Psychiatry

NPI 1306867924

Doctor of Medicine (M.D.)

Natalia Betancur Henao , LCSW

Social Worker - Clinical

NPI 1457063224

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 31, 2020

Registered at 4601 SPICEWOOD SPRINGS RD, BLDG 4, SUITE 200, AUSTIN, TX 78759 (Tel: 5124671376)

📍
Updated Business Mailing Address December 31, 2020

Registered at 11604 SANTA ELENA LN, AUSTIN, TX 787175077 (Tel: 5127572641)

NPI Profile Active July 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2015

Registered at 7700 CAT HOLLOW DR 206, ROUND ROCK, TX 786815799 (Tel: 5128078457)

📍
Updated Business Mailing Address July 29, 2015

Registered at 3024 BELGRAVE FALLS LN, AUSTIN, TX 787482968 (Tel: 5127572641)

👤
Provider Name / Credentials Updated July 29, 2015

Recorded as SALLIE BOULOS-SOPHY, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2015

Psychologist (License #36441 in TX)

🟢
Initial NPI Registration & Enumeration September 09, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194150235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2013
Last Update: December 31, 2020
Sole Proprietor: Yes

Mailing Address

11604 Santa Elena Ln

Austin, TX 787175077

Phone: 5127572641

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.