MEDICARE: SANA PSYCHIATRY, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1194305581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANA PSYCHIATRY, PLLC

Provider Business Mailing Address
First Line	:	4425 S MO PAC EXPY
Second Line	:	STE 205
City	:	AUSTIN
State	:	TX
Zip	:	78735
Country	:	US
Telephone Number	:	512-708-9477
Fax Number	:	210-899-1221

Provider Business Practice Location Address
First Line	:	4425 S MOPAC EXPY
Second Line	:	STE 502
City	:	AUSTIN
State	:	TX
Zip	:	78735-5573
Country	:	US
Telephone Number	:	844-472-6267
Fax Number	:	210-899-1221

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	KARISSA LAVELLE DUNGY
Credential	:	MSN, APRN, PMHNP-BC
Telephone Number	:	512-708-9477

Provider Enumeration Date	:	04/10/2021
Last Update Date	:	03/24/2025

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Directions to “SANA PSYCHIATRY, PLLC ” Practice Location

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