Active NPI
Jesus Aranda-Cano, PSY.D.
- Clinical Psychologist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34658
- Practice address
- 7400 Blanco Rd
Suite 126
San Antonio, TX 78216-4360 - Phone
- (210) 699-8700
- NPI assigned
- Apr 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34658 | TX | Primary |
Addresses
Primary practice location
7400 Blanco Rd
Suite 126
San Antonio, TX 78216-4360
Mailing address
7400 Blanco Rd
Suite 126
San Antonio, TX 78216-4360
Phone (210) 699-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280834701 | Medicaid | TX | |
| 88225A | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, UT, WY, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 32ND St S
Great Falls, MT 59405-5300
Phone (888) 964-6681
17 Old San Antonio Rd
Suite 201
Boerne, TX 78006-3495
Phone (830) 214-7714
200 N Oregon St
Suite 3624
Dillon, MT 59725-3624
Phone (877) 541-0665
20450 Huebner Rd
San Antonio, TX 78258-3942
Phone (877) 541-0665
2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681
32 W 200
Suite 410
Salt Lake City, UT 84101-1603
Phone (830) 267-4575
5438 Presidio Pkwy
San Antonio, TX 78249-3495
Phone (830) 267-4575
7400 Crestway Rd
San Antonio, TX 78239-3104
Phone (830) 267-4575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34658 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coe-Medical PLLC | Current | Accepting new patients | |
| Healthdrive Medical Services Intermountain, PC | Clinical | Current | Accepting new patients |
| Coe Medical Intermountain PLLC | Current | Accepting new patients | |
| Healthdrive Medical Services of Texas LLC | Current | Accepting new patients |
Locations
200 N Oregon St
Ste 3624
Dillon, MT 59725
200 N Oregon St
#3624
Dillon, MT 59725
Phone (406) 683-5105
1500 32nd St S
Great Falls, MT 59405
Phone (406) 761-4300
6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141
113 Pleasant Valley Dr
Ste 210
Boerne, TX 78006
Phone (210) 872-4710
2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232
416 N State St
Hurricane, UT 84737
Phone (435) 635-9833
1205 E Bonner Way
Millcreek, UT 84117
Phone (801) 262-2908
32 W 200 S
Slc, UT 84101
Phone (801) 616-9259
1542 W 1170 N
St George, UT 84770
Phone (435) 634-8321
4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Boerne, TX
- NPI 1073907184
-
- Nurse Practitioner
- Fort Worth, TX
- NPI 1457132169
-
- Family Medicine Physician
- Framingham, MA
- NPI 1518836436
Clinical, MT, UT, WY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1003106543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 BLANCO RD",
"address_2": "SUITE 126",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164360",
"telephone_number": "210-699-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 BLANCO RD",
"address_2": "SUITE 126",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164360",
"telephone_number": "210-699-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARANDA-CANO",
"first_name": "JESUS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "34658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280834701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88225A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.