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NPI Code Detail

MEDICARE: SHINE PSYCHIATRY, PLLC

MEDICARE: SHINE PSYCHIATRY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1669336426
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHINE PSYCHIATRY, PLLC
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 512-953-3973
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ELISE SHIN
Credential : MD, MBA
Telephone Number : 512-953-3973
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “SHINE PSYCHIATRY, PLLC ” Practice Location

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