Individual provider Active NPI

Cynthia Cavazos-Gonzalez, PH.D

  • Clinical Psychologist
  • McAllen, TX
National Provider Identifier
1003825340
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31245 Issued in TX
Practice address
205 E Toronto Ave
McAllen, TX 78503-1209
Phone
(956) 687-6155
NPI assigned
Aug 5, 2006
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3-1245 TX
Clinical Psychologist 103TC0700X 31245 TX Primary

Addresses

Primary practice location

205 E Toronto Ave
McAllen, TX 78503-1209

Mailing address

2216 Fuente de Gozo
Edinburg, TX 78539-6582
Phone (956) 207-4576

Other identifiers 3

IdentifierTypeStateIssuer
831141PMedicaidTX
041052-04MedicaidTX
H08HW01501OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3-1245TXMDClinical Neuropsychologist
31245TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
RGV Rehab North LLC PastSince Jun 1, 2012 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1003825340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 FUENTE DE GOZO",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396582",
            "telephone_number": "956-207-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E TORONTO AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031209",
            "telephone_number": "956-687-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAZOS-GONZALEZ",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "3-1245",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "831141P",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041052-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08HW01501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.