Provider Demographics
NPI:1194305581
Name:SANA PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:SANA PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KARISSA
Authorized Official - Middle Name:LAVELLE
Authorized Official - Last Name:DUNGY
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, PMHNP-BC
Authorized Official - Phone:512-708-9477
Mailing Address - Street 1:4425 S MO PAC EXPY
Mailing Address - Street 2:STE 205
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735
Mailing Address - Country:US
Mailing Address - Phone:512-708-9477
Mailing Address - Fax:210-899-1221
Practice Address - Street 1:4425 S MOPAC EXPY
Practice Address - Street 2:STE 502
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-5573
Practice Address - Country:US
Practice Address - Phone:844-472-6267
Practice Address - Fax:210-899-1221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-10
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health