MEDICARE: PERKINS PSYCARE CLINIC PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TH0100X	Health Service Psychologist
2	103TF0000X	Family Psychologist
3	103TC2200X	Clinical Child & Adolescent Psychologist
4	103T00000X	Psychologist
5	103TB0200X	Cognitive & Behavioral Psychologist
6	103TM1800X	Intellectual & Developmental Disabilities Psychologist
7	103TP0814X	Psychoanalysis Psychologist
8	103TP2701X	Group Psychotherapy Psychologist
9	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1295602555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERKINS PSYCARE CLINIC PLLC

Provider Business Mailing Address
First Line	:	2631 GATTIS SCHOOL RD STE 405
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-2822
Country	:	US
Telephone Number	:	737-320-8109
Fax Number	:

Provider Business Practice Location Address
First Line	:	2631 GATTIS SCHOOL RD STE 405
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-2822
Country	:	US
Telephone Number	:	737-394-5211
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST PL
Name	:	DR. MONIKA DIAZ
Credential	:	PHD
Telephone Number	:	737-320-8109

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	05/19/2026

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